Individual
KRISTEN L RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-7502
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2681
WI
363AS0400X
Surgical Physician Assistant
Primary
2681-23
WI
Other
Enumeration date
09/29/2010
Last updated
02/17/2021
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