Individual
YE EUN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036.145897
IL
207RG0100X
Gastroenterology Physician
Primary
76956
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203134
—
WI
Enumeration date
06/22/2015
Last updated
06/16/2025
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