Individual
DENNIS W STALSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
W5327 SOUTHVIEW DR, NECEDAH, WI 54646-7046
(608) 565-2642
Mailing address
W5327 SOUTHVIEW DR, NECEDAH, WI 54646-7046
(608) 565-2642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56006-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43279600
—
WI
05
—
853481100
—
MN
Enumeration date
07/24/2006
Last updated
07/08/2007
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