Individual
KURT W. REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-1470
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43414600
—
WI
Enumeration date
12/28/2006
Last updated
07/09/2007
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