Individual
DR. BIJI B JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6148 106TH AVE, KENOSHA, WI 53142-7599
(262) 344-4803
Mailing address
6148 106 TH AVE., KENOSHA, WI 53142-7599
(262) 344-4803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53600-0200
WI
208D00000X
General Practice Physician
53600- 020
WI
Other
Enumeration date
06/17/2010
Last updated
01/23/2025
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