Search › Wisconsin › 122300000X
Russell Kittleson, DDS
NPI 1528264819 · on the registry since 2007
Practice
- Address
- 10521 N Port Washington Rd # 13w
Mequon, WI 53092 - Phone
- (262) 241-3142
- Fax
- (262) 241-3634
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin