Individual
DR. EDWARD ROBERT KINSFOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13116 N FOX HOLLOW RD, MEQUON, WI 53097-1805
(262) 242-5092
Mailing address
13116 N FOX HOLLOW RD, MEQUON, WI 53097-1805
(262) 242-5092
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17357-020
WI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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