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Alex Jonathan Green, CAA
Anesthesiologist Assistant in Green Bay, Wisconsin
NPI 1417610270

Alex Jonathan Green is an Anesthesiologist Assistant based in Green Bay, WI. Alex Jonathan Green practices in Green Bay, WI and has the professional credentials of CAA. The NPI Number for Alex Jonathan Green is 1417610270 and holds a License No. 197-17 (Wisconsin).

The current practice location address for Alex Jonathan Green is 744 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-433-3605 and via fax at 920-433-3589. You can also correspond with Alex Jonathan Green through the mailing address at PO BOX 22487, GREEN BAY, WI - 54305-2487 (mailing address contact number: 920-445-7222).

Location: 744 S Webster Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417610270
Provider Name
Alex Jonathan Green
Credential
CAA
Provider Entity Type
Individual
Gender
Male
Address
744 S Webster Ave, Green Bay, WI, 54305-2487
Phone Number
920-433-3605
Fax Number
920-433-3589
Provider Enumeration Date
10/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32697960 01 NATIONAL COMMISSION CERTIFICATION ANESTHESIA ASSTS
institution
Provider Business Practice Location Address Details
Address
744 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-3505
Phone Number
920-433-3605
Fax Number
920-433-3589
person
Provider Business Mailing Address Details
Address
Po Box 22487
City
Green Bay
State
Wisconsin
Zip
54305-2487
Phone Number
920-445-7222
Fax Number
920-445-7289
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
197-17 (Wisconsin)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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