Individual
KRISTEN MARIE REIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
078193
IA
152W00000X
Optometrist
Primary
3379
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2015
Last updated
08/10/2015
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