Individual
IBUKI A KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 251-6100
Mailing address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39081-020
WI
208M00000X
Hospitalist Physician
Primary
39081-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194770198
—
WI
Enumeration date
05/24/2006
Last updated
11/30/2020
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