Individual
JOHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-4700
Mailing address
600 HIGHLAND AVE, E3/311 CSC, MADISON, WI 53792
(608) 263-8310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
70132
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
07/23/2021
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