| Gary L Dent, CRNA | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 926-8332 | |
| (920) 926-8370 |
| Full Name | Gary L Dent |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 620 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265519714 | NPI | - | NPPES |
| 43303300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 84878 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Dent, CRNA 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Gary L Dent, CRNA 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 926-8332 |
Maribel Ramos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 920-324-2085 | |
Mark J. Kernan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 920-926-8370 | |
Shamiah M Dekker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 414-290-6755 | |
Jenna L Devries, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 920-324-2085 |