Individual
JIRO KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
84550-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287651
—
WI
Enumeration date
08/22/2024
Last updated
09/05/2024
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