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NPI Code Detail

MEDICARE: KRISTINZA WOODARD GIESE MD

MEDICARE:   KRISTINZA  WOODARD GIESE  MD
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
1207ZF0201XForensic Pathology Physician55914-20WI
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianML20008949WA

General Provider Information

NPI Number : 1366641623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINZA WOODARD GIESE MD
Provider Business Mailing Address
First Line : 933 WEST HIGHLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 933 WEST HIGHLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233
Country : US
Telephone Number : 414-223-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 06/24/2011

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Directions to “ KRISTINZA WOODARD GIESE MD” Practice Location

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