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NPI Code Detail

MEDICARE: KRISTIN PASCHKE

MEDICARE: KRISTIN PASCHKE
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
1183500000XPharmacist14410-040WI

General Provider Information

NPI Number : 1780961110
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN PASCHKE
Provider Business Mailing Address
First Line : W228S6570 MACKENZIE CT
Second Line :
City : WAUKESHA
State : WI
Zip : 53189-8622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7600 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-2055
Country : US
Telephone Number : 414-464-4601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2011
Last Update Date : 11/14/2011

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