Individual
DR. KATHRYN R TRANDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3794
(414) 266-1752
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036.154905
IL
208800000X
Urology Physician
Primary
73669
WI
2088P0231X
Pediatric Urology Physician
73669
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053674770
—
WI
Enumeration date
06/18/2012
Last updated
04/05/2024
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