Individual
DR. MICHAEL S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-8700
(920) 303-4112
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38972
WI
208C00000X
Colon & Rectal Surgery Physician
4301067842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32360400
—
WI
Enumeration date
08/23/2006
Last updated
09/03/2025
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