Individual
MR. DAVID ROY DEMASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(083) 722-1816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
264
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264
LICENSE NUMBER
WI
05
—
43290200
—
WI
Enumeration date
02/21/2007
Last updated
01/14/2021
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