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Individual

JOHN G AHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
Mailing address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034211
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
667242600
MN
Enumeration date
12/20/2005
Last updated
12/07/2011
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