Individual
EDWARD KIOH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 104, MILWAUKEE, WI 53215-3660
(414) 649-3510
Mailing address
6942 LINDNER DR, FRANKLIN, WI 53132-8904
(414) 828-8475
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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