Individual
DR. KEVIN DWAYNE IZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13700 W NATIONAL AVE, SUITE 128, NEW BERLIN, WI 53151-9521
(414) 217-4909
(978) 291-1897
Mailing address
2856 N GRANT BLVD, MILWAUKEE, WI 53210-2424
(414) 871-7250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38516
WI
Other
Enumeration date
02/20/2006
Last updated
07/20/2016
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