Individual
DR. MALAN HASULA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 N MILWAUKEE AVE STE A, LIBERTYVILLE, IL 60048-1307
(847) 367-5575
(847) 367-5579
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.155630
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036.155630
IL
Other
Enumeration date
03/26/2017
Last updated
03/12/2025
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