Wisconsin Gastroenterology Associates, LLC

Organization Active NPI Gastroenterology Physician · Rhinelander, WI

NPI 1508059809 · NPPES record last updated Feb 11, 2008

Key facts

NPI
1508059809
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-8360
Phone
(906) 225-3880
Fax
(906) 225-4523
NPI assigned
Aug 21, 2007
Organization subpart
Yes
Parent organization (as reported)
U.P. DIGESTIVE DISEASE ASSOC., P.C.

Authorized official

Name
Dr. Joseph Peter Kim, M.D.
Title
President of Sole Member
Phone
(906) 225-3880

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Joseph P Kim MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RG0100X Yes

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-8360

Mailing address

1414 W Fair Ave
Ste. 250
Marquette, MI 49855-2675
Phone (906) 225-3880

Other providers in Rhinelander, WI

All providers in Rhinelander, WI · Gastroenterology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.