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Individual

DR. MICHAEL S KUWABARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R73381
AZ
208000000X
Pediatrics Physician
85210
WI
2085R0202X
Diagnostic Radiology Physician
Primary
85210
WI
2085R0202X
Diagnostic Radiology Physician
R73381
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083975460
WI
05
270499
AZ
01
R73381
TRAINING PERMIT
AZ
Enumeration date
06/01/2012
Last updated
01/29/2025
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