Individual
CARY J KOHLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2717 N GRANDVIEW BLVD, #202, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Mailing address
2717 N GRANDVIEW BLVD, #202, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31341
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31770200
—
WI
Enumeration date
10/27/2006
Last updated
07/08/2007
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