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Individual

CHRISTOPHER LEE ERKKILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

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
5769-33
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
5769
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
596284304C
GA
05
596284304D
GA
05
596284304G
GA
Enumeration date
05/10/2006
Last updated
11/08/2019
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