Individual
NOAH WLODARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5296
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
536
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246240
—
WI
Enumeration date
07/12/2023
Last updated
11/09/2023
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