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Individual

DR. KEVIN E RIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 WIND RIDGE DR., WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2612
Mailing address
500 WIND RIDGE DR., WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2612

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
3123020
WI

Other

Enumeration date
01/13/2006
Last updated
01/17/2013
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