Gregg E Thatcher CRNA

NPI 1386779817 - Registered Nurse - 163W00000X

NPI Details
NPI 1386779817
Gender Male
Enumeration Date 02/23/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
252 MCHENRY ST
BURLINGTON WI, 53105-1828, US
Phone (262) 763-2411
Fax
Business Location
225 S EXECUTIVE DR
BROOKFIELD WI, 53005-4266, US
Phone (262) 787-4026
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 63543
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According to our database, Gregg E Thatcher CRNA NPI is 1386779817, taxonomy code is 163W00000X and license number is 63543, license state is located at Wisconsin. Gregg E Thatcher CRNA physically located at 252 Mchenry St, Burlington WI, 53105-1828. NPI Number Gregg E Thatcher CRNA has the Individual type.

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1386779817 NPI number is provided on an as is basis without warranty of any kind. 1386779817 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg E Thatcher CRNA are for informational purposes only.