Individual
DR. EDWARD G KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 DELAFIELD ST, SUITE 102, WAUKESHA, WI 53188-3417
(262) 547-1614
Mailing address
1111 DELAFIELD ST, SUITE 102, WAUKESHA, WI 53188-3417
(262) 547-1614
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29459
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31837100
—
WI
Enumeration date
02/17/2006
Last updated
04/03/2008
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