Individual
RICHARD GREGG KISHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27007
WI
Other
Enumeration date
01/13/2006
Last updated
06/30/2021
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