Individual
LUCAS W KUEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S CENTURY AVE, WAUNAKEE, WI 53597-2386
(431) 560-8849
(608) 850-1606
Mailing address
1300 S CENTURY AVE, WAUNAKEE, WI 53597-2386
(431) 560-8849
(608) 850-1606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67181-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609263128
—
WI
Enumeration date
04/22/2015
Last updated
12/04/2020
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