Individual
DR. PATRICK G KRISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W231 N1440 CORPORATE CT, WAUKESHA, WI 53186
(262) 896-6000
(262) 896-3921
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34534
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32005100
—
WI
Enumeration date
08/23/2006
Last updated
10/11/2023
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