Individual
MS. MIJO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 739-0528
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 739-0528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13323
WI
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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