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Organization
LAKE AREA PHYSICAL MEDICINE AND REHABILITATION, SC
Active
Organization
LAKE AREA PHYSICAL MEDICINE AND REHABILITATION, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALKA KOHLI MD (PRESIDENT)
(262) 928-2719
Entity
Organization
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2719
(262) 928-7747
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2719
(262) 928-7747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
10/07/2008
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