Individual
MS. MARGO KINSERVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 2ND ST, PEDIATRIC GASTROENTEROLOGY, NEENAH, WI 54956-2883
(920) 969-7970
Mailing address
130 2ND ST, PEDIATRIC GASTROENTEROLOGY, NEENAH, WI 54956-2883
(920) 969-7970
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
47834-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008006261U
HUMANA
—
05
—
1508810870
—
WI
Enumeration date
05/20/2006
Last updated
02/04/2014
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