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Individual
DR. MICHAEL KIM
Active
Individual
DR. MICHAEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35231
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35231
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000122H
HUMANA
—
05
—
32053200
—
WI
Enumeration date
05/15/2006
Last updated
01/27/2021
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