Individual
CRAIG BABIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12647-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070721
CRNA RECERTIFICATION CARD
—
Enumeration date
12/13/2005
Last updated
02/04/2022
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