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1154383909
LANE A. KISTLER
WEST ALLIS, WI
NPI
1154383909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: WI 18544)
Enumeration Date
2006-04-06
Last Update Date
2012-12-31
Business Address
-- LANE A. KISTLER M.D.
2424 S 90TH ST SUITE 306
WEST ALLIS, WI 53227-2455
Phone number: 414-328-8750
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Mailing Address
-- LANE A. KISTLER M.D.
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone number: 414-352-3100
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