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Individual

DR. JANE KIVLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9000 WEST WISCONSIN AVENUE, CHILDREN'S HOSPITAL OF WISCONSIN, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN, MILWAUKEE, WI 53226-3518

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31139
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31597300
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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