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Individual

DR. JONATHAN KUSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7080 N PORT WASHINGTON RD, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Mailing address
7080 N PORT WASHINGTON RD, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51897-020
WI
207RR0500X
Rheumatology Physician
Primary
51897-020
WI

Other

Enumeration date
11/02/2006
Last updated
09/10/2012
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