Organization
ASSOCIATION OF HOSPITAL ANESTHESIOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL ORTH MD (HEAD OF GROUP)
(920) 729-3332
Entity
Organization
Contact information
Practice address
130 2ND ST, STE. A107, NEENAH, WI 54956-2883
(920) 729-3332
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(706) 650-0705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21267300
—
WI
Enumeration date
10/07/2005
Last updated
09/19/2007
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