NPI 1003923582

Peter B Michon, CRNA

Practitioner Certified Registered Nurse Anesthetist Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd, Green Bay, WI 54308-8900
Phone: (920) 288-3388
Fax: (920) 288-3370
Mailing address: 1035 Kepler Dr, Green Bay, WI 54311-8320

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 153789-030 (WI)

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 144267-0 (MN)

Registry record

NPI: 1003923582
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2006
Record last updated: 8 Apr 2022

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.