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NPI Code Detail

MEDICARE: KWANZA N DEVLIN MD

MEDICARE: KWANZA N DEVLIN 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
1207Q00000XFamily Medicine Physician70437WI

General Provider Information

NPI Number : 1871716845
Entity Type Code : Individual
Provider Name (Legal Business Name) : KWANZA N DEVLIN MD
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-955-8664
Fax Number : 414-955-0064
Provider Business Practice Location Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-727-6320
Fax Number : 414-727-6321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 10/08/2025

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Directions to “ KWANZA N DEVLIN MD” Practice Location

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