Individual
MR. YOUNG I KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 S IOWA ST, SUITE 106, DODGEVILLE, WI 53533
(608) 935-9335
(608) 935-2500
Mailing address
833 S IOWA ST, SUITE 106, DODGEVILLE, WI 53533
(608) 935-9335
(608) 935-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18236
WI
208D00000X
General Practice Physician
18236
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31090600
—
WI
Enumeration date
07/17/2006
Last updated
01/22/2010
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