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Individual

DR. KIMBERLY COUTURE IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
(262) 434-5000
Mailing address
1050 OLD CAMP RD, BUILDING # 230, THE VILLAGES, FL 32162-1762
(352) 350-8484
(352) 751-9850

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42556
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34017100
WI
01
7075205
AETNA
WI
01
8808855
CIGNA
WI
Enumeration date
08/30/2005
Last updated
03/26/2013
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