Individual
KATHERINE A. TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC/A
Contact information
Practice address
481 E DIVISION ST, SUITE 900, FOND DU LAC, WI 54935-3748
(920) 926-1288
Mailing address
481 E DIVISION ST, SUITE 900, FOND DU LAC, WI 54935-3748
(920) 926-1288
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700119179
—
WI
05
—
41134000
—
WI
01
—
P00457648
RR MEDICARE
—
Enumeration date
07/08/2006
Last updated
06/15/2010
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