Individual
SAMUEL KRESS CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-6450
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69787
WI
207P00000X
Emergency Medicine Physician
R3458
KY
207P00000X
Emergency Medicine Physician
TP978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881002129
—
WI
Enumeration date
07/30/2014
Last updated
08/15/2018
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