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Individual

MARIA A. KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-7179
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113547
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43333300
WI
Enumeration date
09/30/2006
Last updated
04/27/2023
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