Individual
ANTHONY VINCENT TERESINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
144793-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
89071
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022397
—
WI
Enumeration date
04/05/2012
Last updated
04/09/2025
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