Individual
THOMAS J D'INNOCENZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-2000
Mailing address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4391-033
WI
Other
Enumeration date
02/11/2009
Last updated
03/30/2015
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