MEDICARE: CHRISTEN MCALPINE-TESFAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	54111	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184896169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEN MCALPINE-TESFAI

Provider Business Mailing Address
First Line	:	7720 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-4516
Country	:	US
Telephone Number	:	414-536-0236
Fax Number	:	414-536-0260

Provider Business Practice Location Address
First Line	:	7720 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-4516
Country	:	US
Telephone Number	:	414-536-0236
Fax Number	:	414-536-0260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2008
Last Update Date	:	07/07/2011

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