Ty D Thornock, CRNA

NPI #1720098197 in Shawano, Wisconsin

Provider Information

NPI Number
1720098197
Entity Type
Individual
Name
Ty D Thornock, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 9, 2006
Last Updated
Mar 17, 2018

Practice Location

Address
100 COUNTY ROAD B
ZIP Code
54166-7072
Phone
(715) 524-2161

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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