| Christian Peter Roth, CRNA | |
|
425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | |
| (715) 845-5505 | |
| Not Available |
| Full Name | Christian Peter Roth |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 425 Pine Ridge Blvd Ste 211, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861290967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 232540-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 16700-33 (Wisconsin) | Primary |
| Entity Name | Central Wisconsin Anesthesiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518999648 PECOS PAC ID: 5597667097 Enrollment ID: O20040124000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Peter Roth, CRNA 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 | Christian Peter Roth, CRNA 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 |
Elaine J. Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Laura B. Solverud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Ste 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Elliott Adent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Steve Henkens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Aaron Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Marissa J Hernandez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2557 | |
Michael J Hein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2752 |