Individual
JAMES G VANBOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
259 N PARK AVE, FOND DU LAC, WI 54935-3540
(920) 921-8528
Mailing address
259 N PARK AVE, FOND DU LAC, WI 54935-3540
(920) 921-8528
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43418500
—
WI
Enumeration date
03/01/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us