DR. Kristin D Bencik Boudreau, D.O.

NPI #1588660195 in Fox Point, Wisconsin

Provider Information

NPI Number: 1588660195
Entity Type: Individual
Name: DR. Kristin D Bencik Boudreau, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jun 28, 2005
Last Updated: Sep 16, 2020

Practice Location

Address: 7950 N PORT WASHINGTON RD
City: Fox Point
State: Wisconsin
ZIP Code: 53217-3131
Phone: (414) 228-0099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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