Individual
JONATHAN A LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884
Mailing address
5301 LAKESHORE DR, WAUSAU, WI 54401-7707
(314) 283-9735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233392-30
WI
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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