Individual
MR. WAYNE BERISFORD JANITSCHKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
Mailing address
3208 EAGLE RIDGE DR E, WILLMAR, MN 56201-8734
(320) 214-8166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R116000-4
MN
Other
Enumeration date
04/19/2006
Last updated
09/02/2014
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