Organization
WLSC ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. HOLST (PRESIDENT BOARD OF MANAGERS)
(615) 345-6899
Entity
Organization
Contact information
Practice address
10200 W INNOVATION DR, STE 700, MILWAUKEE, WI 53226-4825
(404) 302-9196
(414) 773-4666
Mailing address
401 COMMERCE ST, STE 740, NASHVILLE, TN 37219-2446
(615) 345-6879
(615) 345-6879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
01/15/2013
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