Healthcare Provider Details

I. General information

NPI: 1821257999
Provider Name (Legal Business Name): KRISTINA GILBERT DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 WAUWATOSA AVE
WAUWATOSA WI
53213-1137
US

IV. Provider business mailing address

2600 WAUWATOSA AVE
WAUWATOSA WI
53213-1137
US

V. Phone/Fax

Practice location:
  • Phone: 414-475-5155
  • Fax: 414-475-1422
Mailing address:
  • Phone: 414-475-5155
  • Fax: 414-475-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5351
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: