Aviva Medical

NPI #1902795479 in Green Bay, Wisconsin

Provider Information

NPI Number: 1902795479
Entity Type: Organization
Organization Name: Aviva Medical
Primary Specialty: Anesthesiology
Enumeration Date: Jun 30, 2025
Last Updated: Jun 30, 2025

Practice Location

Address: 645 CARDINAL LN
City: Green Bay
State: Wisconsin
ZIP Code: 54313-6730
Phone: (920) 510-9381

Authorized Official

Name: JULIE PODLASIK, CRNA
Title: CRNA/CEO
Phone: (920) 510-9381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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