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Organization

ALLERGY & ASTHMA CLINIC OF KENOSHA SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KULWANT SINGH DHALIWAL MD (PRESIDENT)
(262) 632-5151
Entity
Organization

Contact information

Practice address
5200 WASHINGTON AVE, RACINE, WI 53406-4238
(262) 632-5151
(262) 632-6151
Mailing address
5200 WASHINGTON AVE, RACINE, WI 53406-4238
(262) 632-5151
(262) 632-6151

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
WI

Other

Enumeration date
07/07/2006
Last updated
11/01/2007
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