Individual
KRISTINA DREHOBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4848 S 6TH ST, MILWAUKEE, WI 53221-2462
(414) 769-2540
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 769-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35558
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32180600
—
WI
Enumeration date
09/13/2006
Last updated
06/11/2012
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