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NPI Code Detail

MEDICARE: OH HOON KWON MD

MEDICARE:   OH HOON  KWON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician46797WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215981956
Entity Type Code : Individual
Provider Name (Legal Business Name) : OH HOON KWON MD
Provider Business Mailing Address
First Line : 7410 W RAWSON AVE
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8274
Country : US
Telephone Number : 414-427-6230
Fax Number :
Provider Business Practice Location Address
First Line : 7410 W RAWSON AVE
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8274
Country : US
Telephone Number : 414-427-6230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/22/2008

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Directions to “ OH HOON KWON MD” Practice Location

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