Individual
DR. JOON-BOM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 955-2020
Mailing address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 955-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
72968-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932527413
—
WI
Enumeration date
04/02/2014
Last updated
12/28/2020
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