Healthcare Provider Details

I. General information

NPI: 1235165002
Provider Name (Legal Business Name): STEVEN ERIC KAUFMAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 10/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 W OKLAHOMA AVE
MILWAUKEE WI
53215-4100
US

IV. Provider business mailing address

1444 S 85TH ST
WEST ALLIS WI
53214-4470
US

V. Phone/Fax

Practice location:
  • Phone: 414-383-2995
  • Fax:
Mailing address:
  • Phone: 414-476-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number573-025
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: