Individual
KATJA K KARRENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55831
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
55831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609036391
—
WI
Enumeration date
06/16/2008
Last updated
08/08/2023
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