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MR. CRISTIAN A VASILIEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3018
(920) 965-4800
Mailing address
PO BOX 23400, 744 SOUTH WEBSTER AVE, GREEN BAY, WI 54305-3018
(920) 433-7411

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13994-33
WI

Other

Enumeration date
05/23/2023
Last updated
04/10/2024
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