Kenosha Hand & Plastic Surgery SC
Kenosha Hand & Plastic Surgery SC is a Plastic Surgery Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
10117 74th St Ste 100Kenosha, WI 53142-7542
Phone: (262) 656-8237
Fax: (622) 453-0882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 33466020 (WI) |
|---|
Record details
| NPI number | 1912329905 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Birndorf — Owner · (262) 656-8237 |
| NPI enumerated | January 10, 2014 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
| Mailing address | 6308 8th Ave # 104, Kenosha, WI 53143-5031 |