| Dr Kristine M Wake, MD | |
|
750 Round Valley Dr Ste 102, Park City, UT 84060-7549 | |
| (435) 655-0926 | |
| (435) 649-3748 |
| Full Name | Dr Kristine M Wake |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 750 Round Valley Dr Ste 102, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932216975 | NPI | - | NPPES |
| 1932216975 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 41975 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 12807093-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristine M Wake, MD 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615 | Dr Kristine M Wake, MD 750 Round Valley Dr Ste 102, Park City, UT 84060-7549 Ph: (435) 655-0926 |
Dr. Karen Elisabeth Lantz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098 Phone: 435-658-9200 Fax: 435-658-9210 | |
Dr. Monica M Schaffer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060 Phone: 435-655-0926 Fax: 435-649-3748 | |
Eileen Gallagher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1441 Ute Blvd Ste 220, Park City, UT 84098 Phone: 435-602-0187 Fax: 435-355-3734 | |
Katherine Rebecca Lavender, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060 Phone: 435-655-0926 Fax: 435-649-3748 | |
Laura Lynn Sells, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Canyons Resort Dr, Park City, UT 84098 Phone: 435-615-2235 Fax: 435-645-7768 | |
Dr. Emil Chuang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2458 E Westview Trl, Park City, UT 84098 Phone: 760-815-7669 | |
Dr. Lena Sjoquist Terry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060 Phone: 435-655-0926 Fax: 435-649-3748 |