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Organization

THE KAGEN ALLERGY CLINIC SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN L KAGEN M.D. (PRESIDENT)
(920) 739-9100
Entity
Organization

Contact information

Practice address
100 W LAWRENCE ST, APPLETON, WI 54911-5773
(920) 739-9100
(920) 739-8779
Mailing address
100 W LAWRENCE ST, APPLETON, WI 54911-5773
(920) 739-9100
(920) 739-8779

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22210-20
WI

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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