Individual
KUN-TAI HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD STE T2600, WAUWATOSA, WI 53226-3464
(414) 955-4263
(414) 955-6286
Mailing address
1155 N MAYFAIR RD STE T2600, WAUWATOSA, WI 53226-3464
(414) 955-4263
(414) 955-6286
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
77790-20
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
77790-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H2005008501207
DRIVER LICENSE
WI
Enumeration date
05/28/2011
Last updated
10/04/2023
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