Individual
SHAY S KORITTNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
150430030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44342300
—
WI
Enumeration date
05/26/2006
Last updated
01/23/2019
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