Individual
MICHELE KASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 SUNSET BEACH RD, SUAMICO, WI 54173-8220
(920) 366-8889
Mailing address
3702 IVES LN, SUAMICO, WI 54173-7714
(920) 366-8889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DOGD-8449RB
WI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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