Individual
KRISTA MEREDITH DAHL-KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-3222
(414) 955-0061
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-3222
(414) 955-0061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1745
TN
363A00000X
Physician Assistant
Primary
4334
WI
Other
Enumeration date
09/09/2009
Last updated
04/18/2019
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