Individual
KRISTA ANNE JOHANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1227 N CASS ST APT 2, MILWAUKEE, WI 53202-2781
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1755-023
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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