| Mr Byron Russell Shannon, CRNA | |
|
333 E 2nd St, Richland Center, WI 53581-1914 | |
| (608) 647-6321 | |
| Not Available |
| Full Name | Mr Byron Russell Shannon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 333 E 2nd St, Richland Center, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437241247 | NPI | - | NPPES |
| 4328950 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 46278-030 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Byron Russell Shannon, CRNA 201 N Stewart St, Richland Center, WI 53581-1323 Ph: (608) 647-6522 | Mr Byron Russell Shannon, CRNA 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 |
Mr. Timothy Dennis Burns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Amanda Claire Eagan, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 336-558-1837 | |
Bryan D Mccarvel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Ms. Edith Rachel Shannon-goodrich, CRNA, APNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Mark A Kamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 Fax: 608-647-6235 |