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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP J MITTELSTAEDT, CRNA

Active

PHILIP J MITTELSTAEDT, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in RIPON, Wisconsin. NPI 1316934250 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · RIPON, WI

Registration Details

NPI Number
1316934250
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2005 (20.85141031641 yrs)
Last Updated
Oct 21, 2020
License
77170-030 (WI)

Practice Information

Address
845 PARKSIDE ST
RIPON, WI, 549718505
Browse WI providers · Browse ZIP 54971
Phone
9207483101
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in RIPON, WI

Name Credential NPI
MADELINE M PEREIRA CRNA 1912936576
SHANE D GARNER CRNA 1457612640
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.