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Organization

PRAIRIE ANESTHESIA SERVICES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD F FALCH CRNA (OWNER)
(608) 326-8368
Entity
Organization

Contact information

Practice address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2000
(608) 357-2254
Mailing address
PO BOX 338, PRAIRIE DU CHIEN, WI 53821-0338
(608) 357-2000
(608) 357-2254

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61903-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0944181
IA
05
43272400
WI
Enumeration date
11/01/2006
Last updated
06/04/2008
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