Individual
MR. STEVEN P KISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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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