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NPI Code Detail

MEDICARE: DR. ADAM GIDEON KING MS, MD

MEDICARE: DR. ADAM GIDEON KING MS, 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
1208000000XPediatrics Physician51304WI
2207R00000XInternal Medicine Physician51304WI

General Provider Information

NPI Number : 1932257623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM GIDEON KING MS, MD
Provider Business Mailing Address
First Line : 6316 N BERKELEY BLVD
Second Line :
City : WHITEFISH BAY
State : WI
Zip : 53217-4333
Country : US
Telephone Number : 414-803-5138
Fax Number :
Provider Business Practice Location Address
First Line : 1271 N 6TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3360
Country : US
Telephone Number : 414-978-9100
Fax Number : 414-978-9112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/07/2019

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