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Individual

HOWARD K. KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1401 E STATE ST, ROCKFORD, IL 61104
(815) 489-4970
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036082595
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036082595
IL
Enumeration date
08/30/2006
Last updated
02/19/2021
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