NPI 1013006816

Central Wisconsin Anesthesi

Organisation Anesthesiology Physician Berlin, WI

Practice location

Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: (920) 361-5538
Fax: (920) 361-5499

Authorised official

Name: Carolyn J Domke
Title: Office Manager
Phone: (920) 361-5538

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Wisconsin →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Registry record

NPI: 1013006816
Entity type: Organization
NPI issued: 12 Oct 2006
Record last updated: 5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.