Individual
DR. SAMANTHA MAE AUFDERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
901 WOODLAND KNOLLS RD, GERMANTOWN HILLS, IL 61548-9432
(608) 886-8719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
145026
WI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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