Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL HARRISON CANNON JR., CRNA
Active Sole ProprietorSAMUEL HARRISON CANNON JR., CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1831432996 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1831432996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2013 (13.382212017224 yrs)
- Last Updated
- Apr 10, 2025
- License
-
041353866 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N2950 STATE ROAD 67LAKE GENEVA, WI, 531472655Browse WI providers · Browse ZIP 53147
- Phone
- 2622450535
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in LAKE GENEVA, WI
| Name | Credential | NPI |
|---|---|---|
| MARK R. DVORAK | CRNA | 1699750661 |
| MS. CLAUDIA L PETERSON | CRNA | 1265440838 |
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.