MR. William G Chisholm JR., CRNA
NPI #1396775938 in Ilwaco, Washington
Provider Information
- NPI Number
- 1396775938
- Entity Type
- Individual
- Name
- MR. William G Chisholm JR., CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Feb 2, 2016
Practice Location
- Address
- 174 1ST AVE N
- City
- Ilwaco
- State
- Washington
- ZIP Code
- 98624-9137
- Phone
- (360) 642-3181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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