Individual
DR. JOHN F KISPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 S 90TH ST STE 300, WEST ALLIS, WI 53227-2455
(414) 328-8150
Mailing address
2424 S 90TH ST STE 300, WEST ALLIS, WI 53227-2455
(414) 328-8150
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
27008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31688200
—
WI
Enumeration date
10/02/2006
Last updated
12/01/2021
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