Individual
DMITRIY KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Mailing address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
52361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881714426
—
WI
Enumeration date
03/29/2007
Last updated
07/20/2023
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