Individual
MICAH R PLAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, NP
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2362-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
140007030
WI
Other
Enumeration date
04/10/2006
Last updated
02/27/2019
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