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Contact Information

KIERSTYN L BLOCK, PA-C
752 N HIGH POINT RD
MADISON, WI53717-2236
 Phone: 608-824-4000
 Fax: 608-824-4941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIERSTYN L BLOCK · (Female)

NPI Number 1083679757
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/18/2006
Last updated 12/10/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
WI License # 1815-023
WI Medicare PIN 543400639
WI Medicare PIN 741501866
WI Medicare PIN K400106503
WI Medicare PIN K400106505
WI Other 61245 DEAN HEALTH INSURANCE
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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