Individual
MR. JOHN R WESTBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2727 PLAZA DR, WAUSAU, WI 54401-4129
(715) 847-3166
Mailing address
2727 PLAZA DR, WAUSAU, WI 54401-4129
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2794
WI
367500000X
Certified Registered Nurse Anesthetist
R150350-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153938
WI STATE RN LIC
WI
Enumeration date
01/27/2006
Last updated
01/11/2023
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