Individual
KEVIN C CARUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
(414) 219-6078
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75545
WI
208M00000X
Hospitalist Physician
Primary
75545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202083
—
WI
Enumeration date
03/18/2019
Last updated
02/07/2024
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