Provider Demographics
NPI:1659305399
Name:STEVENS POINT ANESTHESIA ASSOCIATION, S.C.
Entity Type:Organization
Organization Name:STEVENS POINT ANESTHESIA ASSOCIATION, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTO
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALINEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-341-7920
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-0326
Mailing Address - Country:US
Mailing Address - Phone:715-341-7920
Mailing Address - Fax:715-341-0776
Practice Address - Street 1:500 VINCENT ST
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-1848
Practice Address - Country:US
Practice Address - Phone:715-341-7920
Practice Address - Fax:715-341-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31976020207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty