KAI SAN EDIE CHEUNG

MEQUON, WI
NPI1518377340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  66619-21)
Enumeration Date2014-05-01
Last Update Date2023-11-17
Business Address
KAI SAN EDIE CHEUNG DO
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092-5078
Phone number: 262-292-3151
Mailing Address
KAI SAN EDIE CHEUNG DO
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092-5078
Phone number: 262-292-3151