Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aviva Medical

Organization Anesthesiology Physician · NPI 1902795479

Aviva Medical is an Anesthesiology Physician in Green Bay, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

645 Cardinal Ln
Green Bay, WI 54313-6730
Phone: (920) 510-9381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1902795479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Podlasik — Crna/Ceo · (920) 510-9381
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address645 Cardinal Ln, Green Bay, WI 54313-6730

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