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Individual

DR. KIMBALL SANDS FUIKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 FOREST CT, BROOKFIELD, WI 53045-3628
(262) 784-4205
(262) 784-6549
Mailing address
550 FOREST CT, BROOKFIELD, WI 53045-3628
(262) 784-4205
(262) 784-6549

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
32726
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140007387
RAILROAD MEDICARE PIN
WI
05
31768900
WI
01
4581860001
MEDICARE DMERC PIN
WI
Enumeration date
02/01/2006
Last updated
07/24/2025
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