Individual
MR. LEVI JAMES POLUS
Active
Individual
MR. LEVI JAMES POLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12064
WI
367500000X
Certified Registered Nurse Anesthetist
194157
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
3006
MN
Other
Enumeration date
02/01/2022
Last updated
11/07/2024
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