Individual
ROXANNE J KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3040 N 117TH ST, WAUWATOSA, WI 53222-4107
(414) 479-9990
(414) 479-0230
Mailing address
3040 N 117TH ST, WAUWATOSA, WI 53222-4107
(414) 479-9990
(414) 479-0230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36066
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32204200
—
WI
Enumeration date
09/13/2005
Last updated
11/19/2007
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