Individual
DR. KERN A REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 N 12TH ST, 2ND FLOOR, MILWAUKEE, WI 53233
(414) 219-7136
(414) 219-6294
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-2000
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30813
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31860300
—
WI
Enumeration date
08/24/2006
Last updated
11/17/2023
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