Wilke, Kristine Marie

Wilke, Kristine Marie is an sole proprietor health care provider with primary practice located at 400 E 3Rd St Sports Medicine Dept, Duluth MN 55805-1951. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wilke, Kristine Marie can be contacted via phone (715) 395-4641.

Contact Information

Primary practice address
400 E 3Rd St Sports Medicine Dept Duluth MN 55805-1951
Phone: (715) 395-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 642-039 Wisconsin

Profile Details

NPI number 1245304286
LBN Legal business name Wilke, Kristine Marie
Credentials A.T.C-L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245304286 NPPES
Wisconsin Other 642-039 WISCONSIN LICENSE NUMBER

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