Provider Demographics
NPI:1831423045
Name:MICHAEL J. KUHN, JR., M.D., S.C.
Entity type:Organization
Organization Name:MICHAEL J. KUHN, JR., M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:414-453-9888
Mailing Address - Street 1:2500 N MAYFAIR RD
Mailing Address - Street 2:330
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1409
Mailing Address - Country:US
Mailing Address - Phone:414-453-9888
Mailing Address - Fax:414-453-8022
Practice Address - Street 1:2500 N MAYFAIR RD
Practice Address - Street 2:330
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1409
Practice Address - Country:US
Practice Address - Phone:414-453-9888
Practice Address - Fax:414-453-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13426-020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30926400Medicaid
WIB54366Medicare UPIN
WI000002392Medicare PIN