Jesus Gerardo Bueno CRNA

NPI 1386891976 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1386891976
Gender Male
Enumeration Date 08/26/2008
Last Updated 08/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
425 PINE RIDGE BLVD
SUITE 211
WAUSAU WI, 54401-4123, US
Phone (715) 845-5505
Fax
Business Location
509 ASPEN GROVE LN
WAUSAU WI, 54403, US
Phone (715) 298-2672
Fax
Toxanomy
Taxonomy Code 367500000X
License State Wisconsin
License Number 154040-030
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According to our database, Mr. Jesus Gerardo Bueno CRNA NPI is 1386891976, taxonomy code is 367500000X and license number is 154040-030, license state is located at Wisconsin. Jesus Gerardo Bueno CRNA physically located at 425 Pine Ridge Blvd, Wausau WI, 54401-4123. NPI Number Jesus Gerardo Bueno CRNA has the Individual type.

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1386891976 NPI number is provided on an as is basis without warranty of any kind. 1386891976 is maintained by the National Plan & Provider Enumeration System. The contents of Jesus Gerardo Bueno CRNA are for informational purposes only.