| Organization Name: | CENTRAL WISCONSIN ANESTHESI |
| NPI Number: | 1013006816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLYN J DOMKE (OFFICE MANAGER) |
| Mailing Address: | 225 Memorial Dr Berlin |
| State: | WI US |
| Postal Code: | 549231243 |
| Phone Number: | 9203615538 |
| Fax Number: | 9203615499 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |