Individual
MR. WILLIAM MATTHEW NETTEKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
1305 140TH AVE, NEW RICHMOND, WI 54017-6613
(952) 836-9582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114118-23
NH
367500000X
Certified Registered Nurse Anesthetist
211715-3
MN
367500000X
Certified Registered Nurse Anesthetist
222424
WI
Other
Enumeration date
12/29/2017
Last updated
05/21/2025
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