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Individual

DR. BARRY KENT GIMBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5150 N PORT WASHINGTON RD, STE 249, MILWAUKEE, WI 53217-5474
(414) 964-0000
(414) 964-2556
Mailing address
5150 N PORT WASHINGTON RD, STE 249, MILWAUKEE, WI 53217-5474
(414) 964-0000
(414) 964-2556

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24375
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30439600
WI
Enumeration date
07/22/2005
Last updated
01/14/2009
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