Provider Demographics
NPI:1083639363
Name:SCHLECHT, KRISTINA A (MD)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:A
Last Name:SCHLECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54702-1510
Mailing Address - Country:US
Mailing Address - Phone:715-838-5222
Mailing Address - Fax:
Practice Address - Street 1:815 10TH ST S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4764
Practice Address - Country:US
Practice Address - Phone:608-784-6648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7752207Q00000X
WI67923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND0118425OtherMEDICA INN #
ND2175448OtherARAZ #
NDHP43197OtherHEALTHPARTNERS #
ND874S7SCOtherMNBS NP #
ND891S4SCOtherMNBS WA #
ND0118417OtherMEDICA FGO #
ND0118423OtherMEDICA NP #
ND24682OtherNDBS #
ND137105OtherUCARE #
NDDA9011016475OtherPREF 1 #
ND10366Medicaid
ND0118984OtherMEDICA WA #
ND874S7SCOtherMNBS #
ND34859OtherLHS #
ND956470500Medicaid
ND956470500Medicaid
NDDA9011016475OtherPREF 1 #
ND10366Medicaid