Individual
CHRISTOPHER KLEEFISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3122
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
64030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598106528
—
WI
Enumeration date
07/06/2013
Last updated
05/31/2019
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