Individual
DR. HARRY J KANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 W SILVER SPRING DR, GLENDALE, WI 53209-4217
(414) 461-9250
(414) 461-3553
Mailing address
2501 W SILVER SPRING DR, GLENDALE, WI 53209-4217
(414) 461-9250
(414) 461-3553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10361
LICENSE
WI
05
—
30901900
—
WI
Enumeration date
09/03/2006
Last updated
07/08/2007
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