Individual
BRIAN H BIELICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(088) 476-1616
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(088) 476-1616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68193
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
8989-33
WI
367500000X
Certified Registered Nurse Anesthetist
901711
NE
Other
Enumeration date
11/26/2008
Last updated
04/25/2024
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