Individual
KRISTINA LYNN WATTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
122 WILSHIRE BLVD N, STEVENS POINT, WI 54481-1360
(715) 341-7441
Mailing address
122 WILSHIRE BLVD N, STEVENS POINT, WI 54481-1360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65834
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65834
WISCONSIN LICENSE
WI
Enumeration date
04/29/2012
Last updated
08/05/2016
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