Individual
DR. MANISH KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 170, MILWAUKEE, WI 53215
(414) 385-8600
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 170, MILWAUKEE, WI 53215-3678
(414) 385-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406376700
—
MD
Enumeration date
10/04/2006
Last updated
06/21/2018
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