William Gunther Mallon is a Saint Germain, Wisconsin based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of William Gunther Mallon is 28182298A for Anesthesia Administration in Indiana. his current practice location is 2149 Found Lake Rd. Box 625, Saint Germain. Patients can reach him at 715-542-2728. William Gunther Mallon is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1013090885.
William Gunther Mallon is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
William Gunther Mallon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Gender: | Male |
| Practice Address: | 2149 Found Lake Rd. Box 625, Saint Germain,
Wisconsin, 54558-0625 |
| Phone: | 715-542-2728 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013090885 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 22 Mar, 2010 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William Gunther Mallon are as mentioned below.
| License Number | Specialization | State | Status | |
| 28182298A | Anesthesia Administration | Indiana | Primary | |
| 137583-030 | Anesthesia Administration | Wisconsin | Secondary | |
| 470412917 | Anesthesia Administration | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with William Gunther Mallon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000602388 | Other | Indiana | ANTHEM PROVIDER NUMBER |
| 026511 | Other | | AANA/CRNA |
| 200929030 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 625,
Saint Germain, Wisconsin |
| Zip: | 54558-0625 |
| Phone Number: | 715-542-2728 |
| Fax Number: | -- |
Patients can reach William Gunther Mallon at
2149 Found Lake Rd. Box 625, Saint Germain, Wisconsin or can
call to book an appointment on 715-542-2728.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.