Individual
KATIE JOHANNAH LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-8015
(715) 732-8215
Mailing address
11516 N PORT WASHINGTON RD STE 107, MEQUON, WI 53092-3478
(262) 241-5040
(414) 241-5241
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
70902
WI
Other
Enumeration date
04/02/2017
Last updated
08/22/2022
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