Individual
MR. OTTAR GEIR KRISTINSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 WASHINGTON STREET, MEDICAL EDUCATION, H4, HARTFORD, CT 06106
(860) 545-9973
(860) 545-9973
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67643-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2011
Last updated
08/23/2017
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