Philip J Mittelstaedt, CRNA

NPI #1316934250 in Ripon, Wisconsin

Provider Information

NPI Number
1316934250
Entity Type
Individual
Name
Philip J Mittelstaedt, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Oct 5, 2005
Last Updated
Oct 21, 2020

Practice Location

Address
845 PARKSIDE ST
City
Ripon
ZIP Code
54971-8505
Phone
(920) 748-3101

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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