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1609003995
KATHLEEN E IDSTEIN
MILWAUKEE, WI
NPI
1609003995
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Former Name
KATHLEEN E BISSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2426)
Enumeration Date
2009-06-15
Last Update Date
2021-09-02
Business Address
Ms. KATHLEEN E IDSTEIN PA
9200 W WISCONSIN AVE DEPARTMENT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6850
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Mailing Address
Ms. KATHLEEN E IDSTEIN PA
9200 W WISCONSIN AVE DEPARTMENT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6850
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