Most Relevant Information
Provider Data
| NPI Number: | 1003649310 |
| Provider Name: | JIRO KIMURA |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 84550-20 |
Most Important Dates
| Enumeration Date: | 08/22/2024 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Practice Location Phone/Fax
| Phone: | 4148056400 |
| Fax: | 4149550213 |
Provider Mailing Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Provider Mailing Phone/Fax
| Phone: | 4148056400 |
| Fax: | 4149550213 |
Suggested EMR
Surgeon EMR