Individual
DR. THOMAS J. KIRAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5640
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46273
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34455600
—
WI
01
—
46273
MD LICENSE
WI
Enumeration date
10/31/2005
Last updated
12/09/2024
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