Organization
MIDWEST ANESTHESIA CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MARTIN CRNA (PRESIDENT)
(715) 296-8690
Entity
Organization
Contact information
Practice address
2200 CEDARCREST DR, STE B, RICE LAKE, WI 54868
(586) 864-6006
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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