Individual
ERIC CLARK BINGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
N1607 S MAIN ST, FORT ATKINSON, WI 53538-8736
(920) 568-0436
Mailing address
N1607 S. MAIN ST. FORT ATKINSON, FORT ATKINSON, WI 53538-8736
(920) 650-2338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
644033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43362700
—
WI
01
—
46259
AANA #
—
Enumeration date
08/31/2006
Last updated
02/28/2025
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