Individual
ANDREW JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
529 E LAKE AVE, WISCONSIN DELLS, WI 53965-9745
(608) 253-0309
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4538-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017349
—
WI
05
—
917459406
—
MO
01
—
P00268772
RAILROAD MEDICARE
MO
Enumeration date
02/02/2007
Last updated
02/01/2024
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