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1275516072
KEITH KENJI SANO
GREEN BAY, WI
NPI
1275516072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WI 39387020)
Enumeration Date
2005-11-25
Last Update Date
2007-07-08
Business Address
Dr. KEITH KENJI SANO MD
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3500
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Mailing Address
Dr. KEITH KENJI SANO MD
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100
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