Waller Anesthesia Services LLC
NPI #1225929771 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1225929771
- Entity Type
- Organization
- Organization Name
- Waller Anesthesia Services LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 14, 2025
- Last Updated
- Jul 14, 2025
Practice Location
- Address
- 55 W SCOTT ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-2342
- Phone
- (708) 275-7914
Authorized Official
- Name
- MRS. CHRISTINE MARIE WALLER, CRNA APNP
- Title
- OWNER
- Phone
- (708) 275-7914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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