Balwierz, Gary S

Balwierz, Gary S is an individual health care provider with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5270. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Balwierz, Gary S can be contacted via phone (715) 838-3311.

Contact Information

Primary practice address
1221 Whipple St Eau Claire WI 54703-5270
Phone: (715) 838-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 121606 Wisconsin

Profile Details

NPI number 1801889001
LBN Legal business name Balwierz, Gary S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801889001 NPPES
Wisconsin MEDICAID 44331500

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