Individual
ALFRED J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 334-5533
Mailing address
PO BOX 78600, MILWAUKEE, WI 53278-8600
(414) 777-1623
(414) 777-1628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
42051-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43279800
—
WI
Enumeration date
07/31/2006
Last updated
07/29/2013
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