Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 18678 | WI |
N | 2080P0201X | Pediatric Allergist | 18678 | WI |
NPI | 1861468712 |
---|---|
Provider Name | Robert J Kriz |
First Address | Verona, WI 53593-7858 |
Second Address | Verona, WI 53593-7858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 09/05/2017 |