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Individual

DR. KENNETH PRESBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, PULMONARY DISEASE, MILWAUKEE, WI 53226
(414) 456-7040
(414) 456-6211
Mailing address
9200 W WISCONSIN AVE, PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 456-7040
(414) 456-6211

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
31159
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000130H
HUMANA
05
1578515268
WI
Enumeration date
05/17/2006
Last updated
08/16/2018
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