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Contact Information

DAVID NOWAKOWSKI, CRNA
835 S VAN BUREN ST
GREEN BAY, WI54301
 Phone: 920-433-0111
 Fax: 920-431-3082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DAVID NOWAKOWSKI · (Male)

NPI # 1588153514
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/04/2018
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 241707-30
  • WI License # 8450
  • WI Medicaid 100079019
Hospital affiliation(s)
  • ST MARYS HSPTL MED CTR - (Acute Care)
    1726 SHAWANO AVE
    GREEN BAY, WI 54303
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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