Midwest Alliance Services LLC

NPI #1336612795 in Wausau, Wisconsin

Provider Information

NPI Number
1336612795
Entity Type
Organization
Organization Name
Midwest Alliance Services LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 9, 2019
Last Updated
Apr 11, 2019

Practice Location

Address
800 N. 1ST ST.
City
Wausau
ZIP Code
54403
Phone
(715) 261-8500

Authorized Official

Name
MR. THOMAS DAVID BOOSTROM, CRNA
Title
CO-OWNER
Phone
(507) 206-1680

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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