Jonathan Kushi M.D.

NPI 1073692901 - Internal Medicine - 207R00000X

NPI Details
NPI 1073692901
Gender Male
Enumeration Date 11/02/2006
Last Updated 09/10/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
7080 N PORT WASHINGTON RD
GLENDALE WI, 53217-3879, US
Phone (414) 351-4009
Fax (414) 351-7060
Business Location
7080 N PORT WASHINGTON RD
GLENDALE WI, 53217-3879, US
Phone (414) 351-4009
Fax (414) 351-7060
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 51897-020
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According to our database, Dr. Jonathan Kushi M.D. NPI is 1073692901, taxonomy code is 207R00000X and license number is 51897-020, license state is located at Wisconsin. Jonathan Kushi M.D. physically located at 7080 N Port Washington Rd, Glendale WI, 53217-3879. NPI Number Jonathan Kushi M.D. has the Individual type.

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1073692901 NPI number is provided on an as is basis without warranty of any kind. 1073692901 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Kushi M.D. are for informational purposes only.