Individual
S. PAUL KUWAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(262) 641-6888
(262) 641-6880
Mailing address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(262) 641-6888
(262) 641-6880
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
16517
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31223000
—
WI
Enumeration date
07/16/2006
Last updated
07/08/2007
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