Individual
MR. JOHN D DUSENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
Mailing address
1480 TERRACE CT, TWO RIVERS, WI 54241-1720
(920) 794-7651
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
380-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
78062-030
WI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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