Provider Demographics
NPI:1740399500
Name:ANESTHETISTS INC. OF WISCONSIN
Entity Type:Organization
Organization Name:ANESTHETISTS INC. OF WISCONSIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:715-269-5530
Mailing Address - Street 1:2302 HIGHWAY 46
Mailing Address - Street 2:P.O. BOX 159
Mailing Address - City:DEER PARK
Mailing Address - State:WI
Mailing Address - Zip Code:54007-7501
Mailing Address - Country:US
Mailing Address - Phone:715-269-5530
Mailing Address - Fax:715-269-5535
Practice Address - Street 1:2302 HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WI
Practice Address - Zip Code:54007-7501
Practice Address - Country:US
Practice Address - Phone:715-269-5530
Practice Address - Fax:715-269-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Single Specialty