Individual
JULIE A PODLASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7289
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209006369
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
7402-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75957
NBCRNA
—
Enumeration date
03/14/2007
Last updated
12/22/2021
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