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1003508649
CRISTIAN A VASILIEV
GREEN BAY, WI
NPI
1003508649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 13994-33)
Enumeration Date
2023-05-23
Last Update Date
2024-04-10
Business Address
Mr. CRISTIAN A VASILIEV FNP
923 ELIZA ST
GREEN BAY, WI 54301-3018
Phone number: 920-965-4800
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Mailing Address
Mr. CRISTIAN A VASILIEV FNP
PO BOX 23400 744 SOUTH WEBSTER AVE
GREEN BAY, WI 54305-3018
Phone number: 920-433-7411
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