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Individual

MS. KRISTINE ERIN DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 277-8939
Mailing address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 277-8939

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61814
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073879912
WI
Enumeration date
04/04/2012
Last updated
07/15/2016
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