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1801889001
GARY S BALWIERZ
EAU CLAIRE, WI
NPI
1801889001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 121606)
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Business Address
-- GARY S BALWIERZ CRNA
1221 WHIPPLE ST
EAU CLAIRE, WI 54703-5270
Phone number: 715-838-3311
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Mailing Address
-- GARY S BALWIERZ CRNA
2107 HEIGHTS DR
EAU CLAIRE, WI 54701-6130
Phone number: 715-834-8721
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