Healthcare Provider Details

I. General information

NPI: 1255387155
Provider Name (Legal Business Name): STEVEN R CIHLAR CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 NORTH SHORE DR STE 100
RHINELANDER WI
54501
US

IV. Provider business mailing address

2251 NORTH SHORE DR STE 100
RHINELANDER WI
54501
US

V. Phone/Fax

Practice location:
  • Phone: 715-361-2000
  • Fax: 715-361-2877
Mailing address:
  • Phone: 715-361-2000
  • Fax: 715-361-2877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number152667
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: