Individual
HEEJIN KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6577
Mailing address
2600 E CAPITOL DR, SHOREWOOD, WI 53211-2138
(414) 550-3629
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
6582-33
WI
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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