Individual
DWIGHT W PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-5571
(715) 644-6220
Mailing address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-5571
(715) 644-6220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
246-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43302600
—
WI
Enumeration date
01/19/2006
Last updated
05/24/2010
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