Mary C Phung, CRNA
NPI #1265841589 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1265841589
- Entity Type
- Individual
- Name
- Mary C Phung, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 12, 2014
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 707 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3027
- Phone
- (920) 887-7181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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