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Individual

DR. MARTIN WILLIAM KERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 542-9531
Mailing address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 542-9531

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17239
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31227900
WI
Enumeration date
08/09/2005
Last updated
11/21/2009
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