KRISTA BOTSFORD

WAUSAU, WI
NPI1831290667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  640)
Enumeration Date2006-09-26
Last Update Date2013-01-26
Business Address
-- KRISTA BOTSFORD PA
9004 HOLLIROB LN
WAUSAU, WI 54403-9171
Phone number: 715-845-5532
Mailing Address
-- KRISTA BOTSFORD PA
9004 HOLLIROB LN
WAUSAU, WI 54403-9171
Phone number: 715-845-5532
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