Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 31060 | WI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 31060 | WI |
NPI | 1306897145 |
---|---|
Provider Name | Dr. Randall S Kuhlmann |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 20/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002000123M | HUMANA (01) | |
1306897145 | (05) | WI |
C36709 | (02) |