Individual
KATHLEEN A DESANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3906 CARIBOU RD, VERONA, WI 53593-8407
(608) 829-2855
Mailing address
3906 CARIBOU RD, VERONA, WI 53593-8407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40318
WI
Other
Enumeration date
03/31/2006
Last updated
08/13/2020
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