Individual
PAM A KOHLHAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
(715) 858-4501
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
(715) 858-4501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
6167
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
83559
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420612
—
IA
01
—
35439
BLUE CROSS
IA
Enumeration date
05/25/2006
Last updated
01/25/2024
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