Individual
CHRISTOPHER MICHAEL KANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 YORK ST, MANITOWOC, WI 54220-6835
(920) 320-6775
(920) 320-6731
Mailing address
600 YORK ST, MANITOWOC, WI 54220-6835
(920) 320-6775
(920) 320-6731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4763
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337589007
—
WI
Enumeration date
12/11/2006
Last updated
05/29/2013
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