Organization
ALLERGY & ASTHMA CLINIC OF KENOSHA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KULWANT SINGH DHALIWAL MD (PRESIDENT)
(262) 657-9390
Entity
Organization
Contact information
Practice address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-9390
(262) 657-4666
Mailing address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-9390
(262) 657-4666
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32656900
—
WI
Enumeration date
07/07/2006
Last updated
11/07/2008
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