Kristofer Michael Wallman in Superior - Medical
Kristofer Michael Wallman - NPI 1962439547
Kristofer Michael Wallman is a Medical in Superior, Wisconsin. Kristofer Michael Wallman practices all healthcare services and medical treatments related to Medical. The NPI Number for Kristofer Michael Wallman is 1962439547. The last update date is 2007-07-09.
Kristofer Michael Wallman's current location address is Twin Ports Va Outpatient Clinic, Superior, Wisconsin. You can contact this provider via phone number 7153982931 and fax number 7153982923. The mailing address for Kristofer Michael Wallman is Twin Ports Va Outpatient Clinic, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristofer Michael Wallman |
|---|---|
| Address | Twin Ports Va Outpatient Clinic, Superior, Wisconsin |
| Phone Number | 7153982931 |
| Fax Number | 7153982923 |
| Sole Proprietor | N |
| Credentials | MPAS, PA-C |
NPI Number Detail
| NPI Number | 1962439547 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Twin Ports Va Outpatient Clinic |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548805335 |
| Phone Number | 7153982931 |
| Fax Number | 7153982923 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9285 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kristofer Michael Wallman by the Centers for Medicare & Medicaid Services?
The Kristofer Michael Wallman has been assigned the NPI (National Provider Identifier) 1962439547. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kristofer Michael Wallman's facilities are situated?
The facilities of Kristofer Michael Wallman are physically located at the following address: Twin Ports Va Outpatient Clinic, Superior, WI, 548805335.
What is Kristofer Michael Wallman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristofer Michael Wallman is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962439547 to Kristofer Michael Wallman?
The Centers for Medicare & Medicaid Services assigned the 1962439547 to Kristofer Michael Wallman on 2006-06-27.
When was the information regarding Kristofer Michael Wallman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kristofer Michael Wallman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH