Individual
KRISTIN S. WOGAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36398-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32111000
—
WI
Enumeration date
05/16/2007
Last updated
02/09/2022
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