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Organization

CORNERSTONE ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TISHA WIKUM (CRNA)
(316) 619-6652
Entity
Organization

Contact information

Practice address
250 W 9TH ST, HOISINGTON, KS 67544-1706
(316) 619-6652
Mailing address
39 NW 48 RD, GREAT BEND, KS 67530-9084
(316) 619-6652

Taxonomy

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

Other

Enumeration date
03/12/2019
Last updated
06/06/2019
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