Individual
DR. CHRISTINE JOANNE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1711 MADISON ST, LA CROSSE, WI 54601-4975
(217) 971-4934
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
62567
WI
208600000X
Surgery Physician
R-8454
IA
2086S0102X
Surgical Critical Care Physician
Primary
62567
WI
Other
Enumeration date
06/29/2008
Last updated
01/22/2020
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