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Individual

KATHLEEN E AGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6731
(608) 756-6013
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6731
(608) 756-6013

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60349614
WA
207L00000X
Anesthesiology Physician
Primary
64182-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558503235
WI
01
G8929487
MEDICARE
Enumeration date
03/27/2009
Last updated
07/07/2022
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