Individual
JACK KOUEIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200 UW HEALTH GME, MADISON, WI 53705
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
83909
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
05/13/2024
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