Individual
ISABELLA MADELYN KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5581-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881264158
—
WI
Enumeration date
06/29/2021
Last updated
09/12/2022
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