Individual
MR. GARY BLAINE TOWNSEND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 54401-4123
(715) 847-2014
Mailing address
521 STURGEON EDDY RD, WAUSAU, WI 54403-6754
(715) 849-1613
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WI
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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