NPI 1346781705

John J St. Andre, CCP

Practitioner Perfusionist Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd, Green Bay, WI 54311-6519
Phone: (920) 288-8320
Fax: (920) 288-8325
Mailing address: 164 N Broadway, Green Bay, WI 54303-2728

Registered specialties (2)

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 136 (WI)

Other Perfusionist providers in Wisconsin →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 136105 (WI)

Other Registered Nurse providers in Wisconsin →

Registry record

NPI: 1346781705
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2017
Record last updated: 17 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.