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Individual

CATHERINE ANN KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1233 N MAYFAIR RD STE 207, WAUWATOSA, WI 53226-3255
(414) 285-6018
Mailing address
1233 N MAYFAIR RD STE 207, WAUWATOSA, WI 53226-3255

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008525
IL
363A00000X
Physician Assistant
Primary
8838-23
WI
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/17/2021
Last updated
03/20/2026
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