Crystalkinetics, LLC

NPI #1649448259 in Shorewood, Wisconsin

Provider Information

NPI Number
1649448259
Entity Type
Organization
Organization Name
Crystalkinetics, LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Feb 16, 2008
Last Updated
Feb 16, 2008

Practice Location

Address
4113 N LAKE DR
ZIP Code
53211-1720
Phone
(414) 961-9361

Authorized Official

Name
DR. JEFFREY L WIDELL, MD
Title
PRESIDENT
Phone
(414) 961-9361

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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