Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM GUNTHER MALLON, CRNA
Active Sole ProprietorWILLIAM GUNTHER MALLON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SAINT GERMAIN, Wisconsin. NPI 1013090885 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · SAINT GERMAIN, WI
Registration Details
- NPI Number
- 1013090885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.842507815223 yrs)
- Last Updated
- Mar 22, 2010
- Licenses
-
137583-030 (WI)470412917 (MI)28182298A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2149 FOUND LAKE RD. BOX 625SAINT GERMAIN, WI, 545580625Browse WI providers · Browse ZIP 54558
- Phone
- 7155422728
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.