Individual
DR. ADAM KEDZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8941
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.070483
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
125.070483
IL
207RP1001X
Pulmonary Disease Physician
125070483
IL
207RP1001X
Pulmonary Disease Physician
Primary
81463
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689197980
—
WI
Enumeration date
07/19/2017
Last updated
07/19/2023
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