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Individual

DANIEL JOHN KRISTL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2858-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001084
WI
05
100238
WI
01
P00799999
RR MEDICARE
WI
Enumeration date
07/12/2006
Last updated
01/28/2025
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