Individual
MICHAEL D MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12074-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210161
—
WI
Enumeration date
08/03/2022
Last updated
10/07/2025
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