Individual
DR. KULWANT SINGH DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-9390
(262) 657-4666
Mailing address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-9390
(262) 657-4666
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17548
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31102100
—
WI
Enumeration date
07/06/2006
Last updated
10/10/2007
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