Central Wisconsin Anesthesi

NPI #1013006816 in Berlin, Wisconsin

Provider Information

NPI Number
1013006816
Entity Type
Organization
Organization Name
Central Wisconsin Anesthesi
Primary Specialty
Anesthesiology
Enumeration Date
Oct 12, 2006
Last Updated
Nov 5, 2012

Practice Location

Address
225 MEMORIAL DR
City
Berlin
ZIP Code
54923-1243
Phone
(920) 361-5538

Authorized Official

Name
CAROLYN J DOMKE
Title
OFFICE MANAGER
Phone
(920) 361-5538

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine
Nurse Anesthetist, Certified Registered
Anesthesiology

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