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Organization

WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC

Active
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Organization

WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC

Active
Parent organization
U.P. DIGESTIVE DISEASE ASSOC., P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
U.P. DIGESTIVE DISEASE ASSOC., P.C.
Authorized official
DR. JOSEPH PETER KIM M.D. (PRESIDENT OF SOLE MEMBER)
(906) 225-3880
Entity
Organization

Contact information

Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(906) 225-3880
(906) 225-4523
Mailing address
1414 W FAIR AVE, STE. 250, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
08/21/2007
Last updated
02/11/2008
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