Provider Information for 1083265961
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KRYSTEN ROHLIK
Sex: Female
NPI: 1083265961
Last Updated: 2019-09-23
Certification Date:
Certification Date:
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1083265961 | |||||||||||||||||||||
| Enumeration Date | 2019-09-23 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 17424 109TH AVE CHIPPEWA FALLS, WI 54729-5370 United States Phone: 715-382-3751 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 17424 109TH AVE CHIPPEWA FALLS, WI 54729-5370 United States Phone: 715-382-3751 | Fax: | |||||||||||||||||||||
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