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Organization

KENNETH RASKIN MD SC

Active
Other names
BodyLogicMD of Milwaukee
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH RASKIN M.D. (OWNER/ OPERATOR)
(877) 278-3693
Entity
Organization

Contact information

Practice address
115 S 84TH ST, SUITE 175, MILWAUKEE, WI 53214-1472
(877) 278-3693
(877) 278-3694
Mailing address
9000 W CHESTER ST STE 210, MILWAUKEE, WI 53214-1373
(877) 278-3693
(262) 317-9311

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45098-020
WI

Other

Enumeration date
09/25/2009
Last updated
09/20/2018
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