Individual
GEORGE PENN KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 354-0772
(414) 365-0773
Mailing address
8901 N 76TH ST, MILWAUKEE, WI 53223-1901
(414) 354-0772
(414) 365-0773
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35899
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32085400
—
WI
Enumeration date
06/05/2006
Last updated
07/08/2007
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