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Individual

KRISTA M DYRESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1855
(262) 242-0051
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61055
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100033952
WI
Enumeration date
04/13/2011
Last updated
05/04/2022
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