August J. Martin CRNA

NPI 1073594362 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1073594362
Gender Male
Enumeration Date 11/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1050 DIVISION ST
MAUSTON WI, 53948-1931, US
Phone (608) 847-6161
Fax
Business Location
1050 DIVISION ST
MAUSTON WI, 53948-1931, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State Wisconsin
License Number 962
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According to our database, August J. Martin CRNA NPI is 1073594362, taxonomy code is 367500000X and license number is 962, license state is located at Wisconsin. August J. Martin CRNA physically located at 1050 Division St, Mauston WI, 53948-1931. NPI Number August J. Martin CRNA has the Individual type.

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1073594362 NPI number is provided on an as is basis without warranty of any kind. 1073594362 is maintained by the National Plan & Provider Enumeration System. The contents of August J. Martin CRNA are for informational purposes only.