NPI 1013090885

William Gunther Mallon, CRNA

Practitioner Certified Registered Nurse Anesthetist Saint Germain, WI

Practice location

Address: 2149 Found Lake Rd. Box 625, Saint Germain, WI 54558-0625
Phone: (715) 542-2728
Mailing address: PO Box 625, Saint Germain, WI 54558-0625

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28182298A (IN)

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 137583-030 (WI)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 470412917 (MI)

Registry record

NPI: 1013090885
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 22 Mar 2010

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.