Individual
KOJO BEMPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AHCMG ANESTHESIOLOGY, 4025 NORTH 92ND STREET, WAUWATOSA, WI 53022
(414) 358-5431
Mailing address
3800 S CALUMET AVE, CHICAGO, IL 60653-1707
(773) 571-1988
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9223
GA
367H00000X
Anesthesiologist Assistant
—
WI
Other
Enumeration date
08/28/2016
Last updated
04/24/2019
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