Individual
KRISTIN L MOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
740 REENA AVE STE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-9061
Mailing address
740 REENA AVE STE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-9061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3187-35
WI
Other
Enumeration date
07/13/2010
Last updated
01/27/2021
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