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Organization

MIDWEST CRITICAL CARE SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTI MASO MD (PRESIDENT)
(602) 738-1478
Entity
Organization

Contact information

Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-4011
Mailing address
1801 N COMMERCE ST UNIT 300, MILWAUKEE, WI 53212-3785
(602) 738-1478

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
12/05/2022
Last updated
01/31/2023
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