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Individual

DR. STEPHEN CHARLES KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD., PH.D.

Contact information

Practice address
925 N 87TH ST, MILWAUKEE, WI 53226
(414) 456-2020
(414) 456-6300
Mailing address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
273321
NY
207W00000X
Ophthalmology Physician
4301052730
MI
207W00000X
Ophthalmology Physician
50022
MN
207W00000X
Ophthalmology Physician
Primary
68962
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558421958
WI
01
180H262240
BLUE CROSS-BLUE CROSS
05
411802710
MI
01
SK052730
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
12/08/2006
Last updated
07/10/2018
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