Organization
MILE BLUFF MEDICAL CENTER INC
Active
Parent organization
MILE BLUFF MEDICAL CENTER INC
Other names
Mile Bluff Hospital CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE BLUFF MEDICAL CENTER INC
Authorized official
THOMAS KAMINSKI (VP/CFO)
(608) 847-1452
Entity
Organization
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
(608) 847-2079
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
(608) 847-2079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43415200
—
WI
Enumeration date
01/30/2007
Last updated
04/10/2026
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