Individual
JOHN C FARRELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5588
Mailing address
339 FREDERICK CT, KOHLER, WI 53044-1361
(920) 452-0199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2348
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44325700
—
WI
Enumeration date
09/28/2006
Last updated
12/01/2021
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