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Individual

GREGORY KAUFFMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215
(414) 649-6420
(414) 649-5309
Mailing address
11516 N PORT WASHINGTON RD STE 107, MEQUON, WI 53092-3478
(262) 241-5040
(262) 241-5261

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063200
IL
2085R0001X
Radiation Oncology Physician
Primary
68600-20
WI

Other

Enumeration date
07/19/2013
Last updated
07/12/2018
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