Individual
DR. KRYSTLE WASMUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71421
WI
208M00000X
Hospitalist Physician
Primary
71421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090710
—
WI
Enumeration date
06/10/2014
Last updated
11/23/2021
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