Individual
KEVIN JOHN SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111691-9
MN
363LF0000X
Family Nurse Practitioner
Primary
3409
WI
Other
Enumeration date
10/31/2006
Last updated
12/22/2008
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