Organization
GARNER ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE GARNER CRNA (PRESIDENT)
(262) 352-4521
Entity
Organization
Contact information
Practice address
254 E MARQUETTE ST, BERLIN, WI 54923-1298
(262) 352-4521
Mailing address
254 E MARQUETTE ST, BERLIN, WI 54923-1298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
171073
WI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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