Kristine S Taivalmaa MD

NPI 1043293376 - Pediatrics - 208000000X

NPI Details
NPI 1043293376
Gender Female
Enumeration Date 11/21/2005
Last Updated 08/15/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
420 E DIVISION ST
FOND DU LAC WI, 54935-4560, US
Phone (920) 926-8424
Fax (920) 926-8389
Business Location
420 E DIVISION ST
FOND DU LAC WI, 54935-4560, US
Phone (920) 926-8340
Fax
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number N5427
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According to our database, Kristine S Taivalmaa MD NPI is 1043293376, taxonomy code is 208000000X and license number is N5427, license state is located at Texas. Kristine S Taivalmaa MD physically located at 420 E Division St, Fond Du Lac WI, 54935-4560. NPI Number Kristine S Taivalmaa MD has the Individual type.

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1043293376 NPI number is provided on an as is basis without warranty of any kind. 1043293376 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine S Taivalmaa MD are for informational purposes only.