Dianne M Byerly, MD
Individual provider Active NPI Anesthesiology Physician · Monona, WI
NPI 1932175403 · NPPES record last updated Jan 5, 2017
Key facts
- NPI
- 1932175403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 36050 (WI)
- Practice address
- 4101 Monona Dr
#202
Monona, WI 53716-1671 - Phone
- (608) 719-8127
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36050 | WI | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 36050 | WI | Yes |
Addresses
Primary practice location
4101 Monona Dr
#202
Monona, WI 53716-1671
Mailing address
4101 Monona Dr
#202
Monona, WI 53716-1671
Other providers in Monona, WI
- Kurt Buehring
- Jeremy D. Bufford
- Joseph Burchik Jr.
- Valerie Rose Burns
- Phillip Ross Buttner
- Margaret K Byfield
- C&E in-Home Care Services
- Calmer Waters Psychotherapy LLC
- Carelink Home Care
- Sanford Allen Carimi
All providers in Monona, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.