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Individual

ALEX HUNTER KIVIMAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5106
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(206) 320-8173

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76321
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100185874
WI
Enumeration date
03/26/2018
Last updated
02/01/2022
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