Individual
KRISTEN A KOPATICH PASEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, STE 435, MILWAUKEE, WI 53215-3669
(414) 258-0670
Mailing address
2801 W KK RIVER PKWY, STE 445, MILWAUKEE, WI 53215-5215
(414) 588-6178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3521
WI
Other
Enumeration date
10/03/2008
Last updated
04/13/2018
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