Individual
SETH P CALONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
425 PINE RIDGE BOULEVARD, SUITE 211, WAUSAU, WI 54401
(715) 845-5505
Mailing address
425 PINE RIDGE BOULEVARD, SUITE 211, WAUSAU, WI 54401
(715) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141389030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213050002
MEDICARE RAILROAD
WI
01
—
213050002
MEDICARE - WISCONSIN
—
05
—
44396700
—
WI
Enumeration date
09/18/2008
Last updated
11/12/2009
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