Provider Demographics
NPI:1245233287
Name:GERING, KRISTIE LYNN (MD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:LYNN
Last Name:GERING
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 1:2829 COUNTY HIGHWAY I
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729
Mailing Address - Country:US
Mailing Address - Phone:715-860-2300
Mailing Address - Fax:715-861-2302
Practice Address - Street 1:2829 COUNTY HIGHWAY I
Practice Address - Street 2:SUITE 2C
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729
Practice Address - Country:US
Practice Address - Phone:715-860-2300
Practice Address - Fax:715-861-2302
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI39046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI01-10997OtherMEDICA
WI391435797OtherEMPLOYERS
WI301025871OtherPREFERRED ONE
WI32586100Medicaid
WI60084OtherGREATER MARSHFIELD PLAN
WI73D70GEOtherATRIUM SENIOR PLAN
WI73D70GEOtherBLUE CROSS MINNESOTA
WIW005284OtherCHAMPUS
WI73D70GEOtherATRIUM
WI32586100OtherWISCONSIN RISK
WIG92784OtherGROUP HEALTH
WI5214084OtherFIRST HEALTH
WIG92784OtherMA GROUP HEALTH
WI3080141275OtherTRAVELERS RAILROAD
WI73D70GEOtherATRIUM SENIOR PLAN
WI11030-0005Medicare ID - Type Unspecified