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Organization
WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC
Active
Organization
WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC
Active
Parent organization
U.P. DIGESTIVE DISEASE ASSOC., P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.P. DIGESTIVE DISEASE ASSOC., P.C.
Authorized official
DR. JOSEPH PETER KIM M.D. (PRESIDENT OF SOLE MEMBER)
(906) 225-3880
Entity
Organization
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(906) 225-3880
(906) 225-4523
Mailing address
1414 W FAIR AVE, STE. 250, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
02/11/2008
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