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Individual

KRISTINE M DOEMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729
(715) 717-4944
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(715) 717-4944

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5639
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131207
RN LICENSE
WI
01
5639
APNP LIC
WI
Enumeration date
01/08/2014
Last updated
07/13/2018
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