Individual
DR. HYUNG JOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
(608) 743-3214
Mailing address
1000 MINERAL POINT AVE, PO BOX 5003, JANESVILLE, WI 53548-2940
(608) 756-6000
(608) 743-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125682
IL
207R00000X
Internal Medicine Physician
Primary
57404-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457554511
BCBSWI
WI
05
—
1457554511
—
WI
01
—
KIMHY2
MERCYCARE
WI
Enumeration date
06/07/2007
Last updated
01/12/2015
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