Individual
DR. KATHRYN J HERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27885-020
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
27885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000120M
HUMANA
—
05
—
1427009257
—
WI
01
—
930044459
MEDICARE RAILROAD
WI
Enumeration date
05/15/2006
Last updated
02/26/2014
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