Individual
XA X XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10222 74TH ST STE 200, KENOSHA, WI 53142-6810
(262) 948-2600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50671-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35208200
—
WI
Enumeration date
06/01/2006
Last updated
02/06/2026
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