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Individual

KRISTI LYNN MASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 519-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301098788
MI
207P00000X
Emergency Medicine Physician
65388
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
65388
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841588936
WI
Enumeration date
07/11/2011
Last updated
03/03/2021
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