Individual
GREGORY KAFTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 30TH AVE, KENOSHA, WI 53144-2871
(262) 658-7102
Mailing address
2861 N PROSPECT AVE, MILWAUKEE, WI 53211-3771
(414) 961-1148
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
34419
WI
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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