Individual
DR. JACK KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17812
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022000121Z
HUMANA
—
01
—
110085324
RAILROAD MEDICARE
—
05
—
1740231299
—
WI
Enumeration date
05/12/2006
Last updated
02/01/2013
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