Individual
MR. JIA DONG
Active
Individual
MR. JIA DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, APNP
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17827-033
WI
367500000X
Certified Registered Nurse Anesthetist
209.020980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801420559
—
WI
Enumeration date
03/02/2020
Last updated
02/23/2026
Update your record
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