William Gunther Mallon, CRNA
NPI #1013090885 in Saint Germain, Wisconsin
Provider Information
- NPI Number
- 1013090885
- Entity Type
- Individual
- Name
- William Gunther Mallon, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Mar 22, 2010
Practice Location
- Address
- 2149 FOUND LAKE RD. BOX 625
- City
- Saint Germain
- State
- Wisconsin
- ZIP Code
- 54558-0625
- Phone
- (715) 542-2728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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