Individual
DR. KEVIN ALDEN KUMMEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
629 W CLOVERLAND DR, IRONWOOD, MI 49938-1006
(906) 932-0032
Mailing address
1369 SPECTACLE LAKE LN, PHELPS, WI 54554-9453
(715) 545-4078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36981
WI
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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