Individual
JON NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112239030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43336600
—
WI
Enumeration date
02/24/2006
Last updated
04/28/2008
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