Organization
FABER ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN E FABER CRNA (PRESIDENT)
(920) 793-3369
Entity
Organization
Contact information
Practice address
1474 TERRACE CT, TWO RIVERS, WI 54241-1720
(920) 793-3369
Mailing address
1474 TERRACE CT, TWO RIVERS, WI 54241-1720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
678-033
WI
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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