Individual
LAURA KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 805-3777
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 805-3777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54872-020
WI
208D00000X
General Practice Physician
54872-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871720771
—
WI
Enumeration date
06/17/2009
Last updated
02/16/2018
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