Individual
DR. KENNETH D FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6808
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6808
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27624
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000215L
HUMANA
—
05
—
1124079082
—
WI
Enumeration date
05/15/2006
Last updated
06/12/2023
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