Taivalmaa, Kristine S

Taivalmaa, Kristine S is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Taivalmaa, Kristine S can be contacted via phone (920) 926-8424.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8424
Fax: (920) 926-8389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N5427 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42205 Wisconsin

Profile Details

NPI number 1043293376
LBN Legal business name Taivalmaa, Kristine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Dec 16th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043293376 NPPES
Wisconsin Other WI01F1 JOHN DEERE
Wisconsin Other 12560 JOHN DEERE
Wisconsin MEDICAID 33332600 JOHN DEERE
Wisconsin Other 390807236FA JOHN DEERE

Popular Providers