Individual
DR. MASANOSUKE ERNEST KINOSHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PELLER RD, LAKE GENEVA, WI 53147-4543
(262) 249-0221
(262) 249-0633
Mailing address
350 PELLER RD, LAKE GENEVA, WI 53147-4543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84841-20
WI
Other
Enumeration date
07/31/2017
Last updated
01/01/2025
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