Organization
NEW ANESTHESIA
Active
Other names
Bellin
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S JOHN CRNA, MS (CRNA)
(920) 450-6172
Entity
Organization
Contact information
Practice address
1236 STILLMEADOW LN, MENASHA, WI 54952-8920
(920) 450-6172
Mailing address
1236 STILLMEADOW LN, MENASHA, WI 54952-8920
(920) 450-6172
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
054142
WI
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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