Individual
MICHELLE P CANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548
(715) 358-1740
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2651
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44343600
—
WI
Enumeration date
08/30/2006
Last updated
02/15/2011
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