Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 49734 | WI |
N | 207V00000X | Obstetrician & Gynecologist | MD.29488 | AL |
NPI | 1003873399 |
---|---|
Provider Name | Kristine R. Graettinger |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 22/11/2019 |