Healthcare Provider Details

I. General information

NPI: 1720049844
Provider Name (Legal Business Name): GREGORY J KUHR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14555 W NATIONAL AVE #155
NEW BERLIN WI
53151-4494
US

IV. Provider business mailing address

14555 W NATIONAL AVE #155
NEW BERLIN WI
53151-4494
US

V. Phone/Fax

Practice location:
  • Phone: 262-827-1200
  • Fax:
Mailing address:
  • Phone: 262-827-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20238
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: