| NPI | 1952560146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. DUSENBERY President 920-973-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 030586) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2017-02-03 |