Organization
S. PAUL KUWAYAMA, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. PAUL KUWAYAMA M.D. (OWNER)
(262) 641-6893
Entity
Organization
Contact information
Practice address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(262) 641-6893
Mailing address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(262) 641-6893
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31223000
—
WI
Enumeration date
10/09/2006
Last updated
02/28/2008
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