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Organization

SACQUITNE ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW SACQUITNE DNP, CRNA (NURSE ANESTHETIST)
(563) 379-4131
Entity
Organization

Contact information

Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Mailing address
301 PRAIRIE ST, FALL RIVER, WI 53932-9649
(563) 379-4131

Taxonomy

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

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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