Individual
KRISTIN E VERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-2300
Mailing address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43801
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112069
SECURITY HEALTH
WI
05
—
34384900
—
WI
Enumeration date
08/09/2006
Last updated
01/17/2023
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