Kirstin M Certalic in Waukesha - Family Medicine
Kirstin M Certalic - NPI 1275542326
Kirstin M Certalic is a Family Medicine in Waukesha, Wisconsin. Kirstin M Certalic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kirstin M Certalic is 1275542326. The last update date is 2023-03-07.
Kirstin M Certalic's current location address is 2315 E Moreland Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625325800 and fax number 2625325760. The mailing address for Kirstin M Certalic is 2315 E Moreland Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirstin M Certalic |
|---|---|
| Address | 2315 E Moreland Blvd, Waukesha, Wisconsin |
| Phone Number | 2625325800 |
| Fax Number | 2625325760 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1275542326 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2315 E Moreland Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531862939 |
| Phone Number | 2625325800 |
| Fax Number | 2625325760 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 40646 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1275542326 | WI | -- | |
| 30091900 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kirstin M Certalic by the Centers for Medicare & Medicaid Services?
The Kirstin M Certalic has been issued the NPI (National Provider Identifier) 1275542326. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kirstin M Certalic is located?
The Kirstin M Certalic is situated at the following address: 2315 E Moreland Blvd, Waukesha, WI, 531862939.
What is Kirstin M Certalic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kirstin M Certalic's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did the Kirstin M Certalic receive its 1275542326?
The Kirstin M Certalic was issued its 1275542326 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kirstin M Certalic most recently updated or revised?
The information pertaining to Kirstin M Certalic, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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