JEFFERY P ANTONISSEN

GREEN BAY, WI
NPI1760494512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  113583)
Enumeration Date2006-08-12
Last Update Date2024-04-09
Business Address
JEFFERY P ANTONISSEN CRNA
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-3388
Mailing Address
JEFFERY P ANTONISSEN CRNA
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046
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