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NPI Code Detail

MEDICARE: MONICA SUZANNE CRISTAN

MEDICARE: MONICA SUZANNE CRISTAN
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
1235Z00000XSpeech-Language Pathologist297-154WI

Other Identifiers

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

General Provider Information

NPI Number : 1770759060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA SUZANNE CRISTAN
Provider Business Mailing Address
First Line : 335 TERRACE DR W
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5502
Country : US
Telephone Number : 262-227-7278
Fax Number :
Provider Business Practice Location Address
First Line : 1755 N BARKER RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-1801
Country : US
Telephone Number : 262-821-3939
Fax Number : 262-821-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 09/17/2021

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Directions to “ MONICA SUZANNE CRISTAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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