Individual
SETH P CALONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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