# WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** U.P. DIGESTIVE DISEASE ASSOC., P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508059809
- **Legal business name:** U.P. DIGESTIVE DISEASE ASSOC., P.C.
- **Authorized official:** DR. JOSEPH PETER KIM M.D. (PRESIDENT OF SOLE MEMBER)
- **Authorized official phone:** (906) 225-3880

## Contact information

- **Practice address:** 2251 N SHORE DR, RHINELANDER, WI 54501-8360
- **Practice address phone:** (906) 225-3880
- **Practice address fax:** (906) 225-4523
- **Mailing address:** 1414 W FAIR AVE, STE. 250, MARQUETTE, MI 49855-2675
- **Mailing address phone:** (906) 225-3880
- **Mailing address fax:** (906) 225-4523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 02/11/2008