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Individual

KATHERINE GROH LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3522
(414) 805-3666

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6378120
WI
2084P0800X
Psychiatry Physician
MD444212
PA
2084P0800X
Psychiatry Physician
MT195450
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386879021
WI
Enumeration date
05/26/2009
Last updated
07/13/2015
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