Individual
MR. CRAIG ALAN BEVERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
600 HIGHLAND AVE, B6/319 CSC 3272, MADISON, WI 53792-0001
(608) 263-8100
(608) 263-0575
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1544
—
367H00000X
Anesthesiologist Assistant
Primary
45-17
WI
Other
Enumeration date
10/14/2013
Last updated
11/05/2014
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