Stank, Randy J

Stank, Randy J is an individual health care provider with primary practice located at 2727 Plaza Drive , Wausau WI 54401. 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. Stank, Randy J can be contacted via phone (715) 847-3889.

Contact Information

Primary practice address
2727 Plaza Drive Wausau WI 54401
Phone: (715) 847-3889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 34354 Wisconsin

Profile Details

NPI number 1902901580
LBN Legal business name Stank, Randy J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
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 1902901580 NPPES
Wisconsin MEDICAID 43274100

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