Individual
DAVID NOWAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301
(920) 433-0111
(920) 431-3082
Mailing address
DAVID NOWAKOWSKI, CRNA, 225 S EXECUTIVE DRIVE, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 439-7683
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
241707-30
WI
367500000X
Certified Registered Nurse Anesthetist
8450
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079019
—
WI
Enumeration date
05/04/2018
Last updated
07/11/2024
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