Individual
MR. EVAN EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Mailing address
130 S KNOWLES AVE, NEW RICHMOND, WI 54017-1727
(715) 246-3018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11486-33
WI
Other
Enumeration date
07/10/2021
Last updated
11/13/2021
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