Individual
CARLOS X CONDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9576 HIGHWAY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
Mailing address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
160332
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
3967-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44350400
—
WI
Enumeration date
08/17/2007
Last updated
10/31/2025
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