Individual
KRISTINE BLUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4406
(262) 223-0280
(262) 223-0281
Mailing address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4406
(262) 223-0280
(262) 223-0281
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10932
WI
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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