Kristin N Otero PA

NPI 1003879867 - Physician Assistant - 363A00000X

NPI Details
NPI 1003879867
Gender Female
Enumeration Date 04/11/2006
Last Updated 05/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
5000 W CHAMBERS ST
MILWAUKEE WI, 53210-1650, US
Phone (414) 447-2000
Fax
Business Location
9875 S FRANKLIN DR
FRANKLIN WI, 53132-8895, US
Phone (414) 858-2200
Fax (414) 858-2236
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1629-023
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According to our database, Kristin N Otero PA NPI is 1003879867, taxonomy code is 363A00000X and license number is 1629-023, license state is located at Wisconsin. Kristin N Otero PA physically located at 5000 W Chambers St, Milwaukee WI, 53210-1650. NPI Number Kristin N Otero PA has the Individual type.

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1003879867 NPI number is provided on an as is basis without warranty of any kind. 1003879867 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin N Otero PA are for informational purposes only.