Individual
KOHLDON CARTER BOYDSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 N MAYFAIR RD STE 545, WAUWATOSA, WI 53226-1306
(414) 476-0430
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
76733
WI
Other
Enumeration date
03/31/2016
Last updated
09/27/2022
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