Individual
KRISTEN STREITENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8570
(414) 805-6805
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8570
(414) 805-6805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004780
IL
363A00000X
Physician Assistant
Primary
3618
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386076396
—
WI
Enumeration date
07/31/2013
Last updated
03/17/2018
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