Klement Tassone, Kristen Ann

Klement Tassone, Kristen Ann is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Klement Tassone, Kristen Ann can be contacted via phone (414) 955-4263.

Contact Information

Primary practice address
1155 N Mayfair Rd Wauwatosa WI 53226-3462
Phone: (414) 955-4263
Fax: (414) 955-6286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 54773-20 Wisconsin

Profile Details

NPI number 1912149170
LBN Legal business name Klement Tassone, Kristen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Feb 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912149170 NPPES
Wisconsin MEDICAID 1912149170

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