Individual
SAM N. KUCHINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Mailing address
MEMORIAL MEDICAL CENTER, 1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
66857
WI
207W00000X
Ophthalmology Physician
66857-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
09/28/2023
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