Individual
PHILIP SARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA APNP
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301
(920) 433-0111
(920) 433-8765
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134274-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43388400
—
WI
Enumeration date
09/22/2006
Last updated
01/05/2016
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