Dr. Kristine M Wake
MD | Pediatrics | Female
Dr. Kristine M Wake, MD is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kristine M Wake is
9000 W Wisconsin Ave # Ms 958, Milwaukee, Wisconsin - 53226-4874. She can be contacted on phone at
414-266-7615 and fax number 414-266-6238.
Dr. Kristine M Wake is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kristine M Wake is
1932216975 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 07 Mar, 2023.
Dr. Kristine M Wake license number is
12807093-1205 for Pediatrics (208000000X) in Utah.
Dr. Kristine M Wake is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kristine M Wake basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kristine M Wake |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kristine M Wake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave # Ms 958
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-7615 |
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| Fax Number : | 414-266-6238 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932216975 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristine M Wake are as mentioned. Primary taxonomy code for Dr. Kristine M Wake, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 41975 | WI |
| 208000000X | Pediatrics | Yes | 12807093-1205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kristine M Wake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1932216975 | MEDICAID | WI | |
| 60040-0207 | MEDICARE ID-Type Unspecified | | Medicare Provider |
| H20053 | MEDICARE UPIN | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 750 Round Valley Dr Ste 102
Park City, UT, 84060-7549
United States |
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| Phone Number : | 435-655-0926 |
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| Fax Number : | 435-649-3748 |
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Business Location:
Patients can refer following map for directions to
Dr. Kristine M Wake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.