Individual
KRISTEN L LABOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-054323
IL
207L00000X
Anesthesiology Physician
56876
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
56876
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245490838
—
WI
01
—
125-054323
ILLINOIS TEMPORARY LICENSE
IL
Enumeration date
06/17/2008
Last updated
05/13/2024
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