Individual
LINDA A WELCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
430 E DIVISION ST, SUITE 4, FOND DU LAC, WI 54935-4560
(920) 926-2300
Mailing address
420 E DIVISION ST, SUITE 4, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
65987
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43275600
—
WI
01
—
P00142729
RAILROAD MEDICARE
WI
Enumeration date
12/15/2005
Last updated
07/08/2007
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