SUSAN K. KINAST-PORTER

LAKE GENEVA, WI
NPI1942229331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: WI  23108-020)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WI  23108-20)
Enumeration Date2006-07-18
Last Update Date2013-10-03
Business Address
-- SUSAN K. KINAST-PORTER MD
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-0535
Mailing Address
-- SUSAN K. KINAST-PORTER MD
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-0535