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Individual

KATE W VASCONCELLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY STE 575, MILWAUKEE, WI 53215-5200
(414) 649-3240
(414) 649-3244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-07351
KS
208C00000X
Colon & Rectal Surgery Physician
Primary
22706
WI
208C00000X
Colon & Rectal Surgery Physician
76842
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100208986
WI
Enumeration date
05/17/2010
Last updated
07/28/2025
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