Individual
KATHRYN A BUYESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
216 S 3RD AVE, WAUSAU, WI 54401-4636
(800) 246-5743
(715) 675-5475
Mailing address
4224 CLOVER ST, TWO RIVERS, WI 54241-1244
(920) 901-1099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
830-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43836700
—
WI
01
—
BUY104288554
NCC CERTIFICATE
WI
Enumeration date
06/28/2007
Last updated
01/19/2021
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