Individual
TONI KULJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3575
(920) 433-0111
Mailing address
2655 HOWARD CMNS APT 1, GREEN BAY, WI 54313-9342
(906) 458-0724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122691
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082377
—
WI
Enumeration date
07/24/2018
Last updated
03/15/2024
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