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Individual

DR. KRISTEN ANN KLEMENT TASSONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-4263
(414) 955-6286
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-4263
(414) 955-6286

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
54773-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912149170
WI
Enumeration date
04/01/2009
Last updated
02/22/2024
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