Individual
KRISTINE M MATYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
323 S. 18TH AVENUE, STURGEON BAY, WI 54235
(920) 746-0510
Mailing address
323 S. 18TH AVENUE, STURGEON BAY, WI 54235
(920) 746-0510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2249-023
WI
Other
Enumeration date
08/05/2007
Last updated
04/07/2023
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