Individual
DR. KACI LEE AXELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(262) 492-6549
Mailing address
128 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 262-4825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301115624
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
4351042031
MI
Other
Enumeration date
06/11/2018
Last updated
08/03/2022
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