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Kristie Lynn Gering
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NPI Number Detailed Information
Provider Information:
| Name: | Kristie Lynn Gering |
| Gender: | F |
| Provider License Number If Given: | 39046 |
NPI Information:
| NPI: | 1245233287 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 2/4/2010 |
Provider Business Mailing Address:
| Address: | 2449 COUNTY HIGHWAY I Chippewa Falls, WI 54729 |
| Phone Number: | 7157239138 |
| Fax Number: | 7157238633 |
Provider Business Practice Location Address:
| Address: | 2449 COUNTY HIGHWAY I Chippewa Falls, WI 54729 |
| Phone Number: | 7157239138 |
| Fax Number: | 7157238633 |
Provider Taxonomy:
| Primary: | 207Q00000X |
| Secondary (if any): | |
| State: | WI |
