Individual
JUSTIN MOHELNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7395 S 68TH ST, FRANKLIN, WI 53132-9691
(141) 455-3643
Mailing address
7395 S 68TH ST, FRANKLIN, WI 53132-9691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180477-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
11113
WI
Other
Enumeration date
02/08/2021
Last updated
07/25/2024
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