Individual
KANWARDEEP SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N HONEY CREEK PKWY, WAUWATOSA, WI 53213-3189
(414) 615-5900
(414) 615-5927
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
45774
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
45774
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05459789
ECFMG
—
05
—
34413900
—
WI
05
—
4741841
—
MI
05
—
4945402
—
MI
Enumeration date
12/28/2005
Last updated
12/15/2023
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