Krystina Marie Pischke
Family Doctor
1504 S Commercial St
Neenah
, Wisconsin 54956-4802
Krystina Marie Pischke
Family Doctor
1504 S Commercial St
Neenah
, Wisconsin 54956-4802
(920) 738-5787
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Krystina Marie Pischke
- Po Box 8003
- Appleton, WI
- Zip : 54912-8003
- Fax : (920) 738-5787
- Phone : (920) 830-5900
Second Address
- Krystina Marie Pischke
- 1504 S Commercial St
- Neenah, WI
- Zip : 54956-4802
- Fax : (920) 729-6484
- Phone : (920) 729-6088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 63282 | WI |
National Provider Identifier
| NPI | 1003259649 |
|---|---|
| Provider Name | Krystina Marie Pischke |
| First Address | Appleton, WI 54912-8003 |
| Second Address | Neenah, WI 54956-4802 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2013 |
| Last Update Date | 28/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.