person
Kristen Vaccaro, DO
Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin
NPI 1154070282

Kristen Vaccaro is a Student in an Organized Health Care Education/Training Program based in Oak Brook, WI. Kristen Vaccaro practices in Milwaukee, WI and has the professional credentials of DO. The NPI Number for Kristen Vaccaro is 1154070282 and holds a License No. 100231 (Wisconsin).

The current practice location address for Kristen Vaccaro is 8701 Watertown Plank Rd, Milwaukee, WI and can be reached out via phone at 414-955-1925.

Location: 8701 Watertown Plank Rd, Milwaukee, WI, 60523-2129
person
Provider Profile Details
NPI Number
1154070282
Provider Name
Kristen Vaccaro
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
8701 Watertown Plank Rd, Milwaukee, WI, 60523-2129
Phone Number
414-955-1925
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100231-851 01 WI WISCONSIN MEDICAL EXAMINING BOARD RESIDENT EDUCATION LICENSE
125.079357 01 IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
8701 Watertown Plank Rd
City
State
Zip
53226-3548
Phone Number
414-955-1925
Fax Number
person
Provider Business Mailing Address Details
Address
8701 Watertown Plank Rd
City
State
Zip
53226-3548
Phone Number
414-955-1925
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
100231 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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