Organization
VI ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY H DEKALB (SUPERVISOR)
(262) 787-4026
Entity
Organization
Contact information
Practice address
9048 SUGAR ESTATE, ST THOMAS, VI 00802
(340) 776-8311
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4026
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1082
VI
174400000X
Specialist
1296
VI
174400000X
Specialist
1321
VI
Other
Enumeration date
04/04/2007
Last updated
05/08/2008
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