Individual
DR. REBECCA NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 612-2350
(262) 612-2351
Mailing address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 612-2350
(262) 612-2351
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
74484
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972063964
—
WI
Enumeration date
03/25/2019
Last updated
08/15/2024
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