Individual
DR. KYLE JON VAN ARENDONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6550
(414) 266-6579
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6550
(414) 266-6579
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
35.149179
OH
2086S0120X
Pediatric Surgery Physician
Primary
69327-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027771
—
OH
05
—
1659544211
—
WI
01
—
H0007327
CGS - MEDICARE
OH
Enumeration date
04/03/2008
Last updated
11/19/2024
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