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NPI Code Detail

MEDICARE: TONI KULJU

MEDICARE: TONI KULJU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2367500000XCertified Registered Nurse Anesthetist122691WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346727120
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI KULJU
Provider Business Mailing Address
First Line : 2655 HOWARD CMNS APT 1
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9342
Country : US
Telephone Number : 906-458-0724
Fax Number :
Provider Business Practice Location Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3575
Country : US
Telephone Number : 920-433-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 03/15/2024

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Directions to “ TONI KULJU ” Practice Location

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