Search › Wisconsin › 164W00000X
Gideon Kazah
NPI 1831554021 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2488 Dahle Street
Madison, WI 53704 - Phone
- (917) 346-4459
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin