Individual
SOCRATES KAITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210
(414) 447-2000
Mailing address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101025708
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/17/2019
Last updated
07/06/2022
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