| NPI | 1730508771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L MATHIAS Owner 920-660-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4836-33) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |