Individual
DR. KIRSTIN M CERTALIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC, WAUKESHA, WI 53186-2939
(262) 532-5800
(262) 532-5760
Mailing address
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC, WAUKESHA, WI 53186-2939
(262) 532-5800
(262) 532-5760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40646
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275542326
—
WI
05
—
30091900
—
WI
Enumeration date
08/07/2006
Last updated
03/07/2023
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