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Individual

SHARON BRINKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884
Mailing address
425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 54401-4123
(715) 845-5505
(715) 848-2884

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43330300
MANAGED HEALTH CARE
WI
05
43330300
WI
01
56816
SECUITY HEALTH MEDICAID
WI
01
BRINKMAN
WPS
WV
Enumeration date
07/18/2006
Last updated
07/09/2007
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