Individual
DR. MIN K KOO
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
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51019
WI
207R00000X
Internal Medicine Physician
125051424
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015384
—
WI
Enumeration date
05/12/2007
Last updated
10/26/2023
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