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Individual

ELLIOTT ADENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 54401-4123
(715) 845-5505
Mailing address
224877 LAKESHORE DR, WAUSAU, WI 54401-5423
(314) 556-2360

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112587
WI

Other

Enumeration date
01/10/2017
Last updated
11/14/2019
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