Individual
KATHERINE HEALY VISSERS FINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7080 N PORT WASHINGTON ROAD, GLENDALE, WI 53217
(414) 351-4009
(414) 351-7060
Mailing address
7080 N PORT WASHINGTON ROAD, GLENDALE, WI 53217
(414) 351-4009
(414) 351-7060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:056942
IL
207RR0500X
Rheumatology Physician
02005150A
IN
207RR0500X
Rheumatology Physician
Primary
75216
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006175
—
IN
01
—
471400487
MEDICARE
IN
Enumeration date
06/23/2009
Last updated
05/20/2024
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