Individual
MR. STEVEN P KISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1172023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003006261Q
HUMANA
—
05
—
1003860347
—
WI
Enumeration date
05/20/2006
Last updated
03/12/2013
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