Individual
DR. KRISTI RAE ESTABROOK
Active
Individual
DR. KRISTI RAE ESTABROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57735
MN
208D00000X
General Practice Physician
54942-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932341401
—
MN
05
—
1932341401
—
WI
Enumeration date
03/30/2009
Last updated
05/06/2015
Update your record
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