Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH ALAN ICZKOWSKI, MD
ActiveAnatomic Pathology · MILWAUKEE, WI
Registration Details
- NPI Number
- 1699702373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (19.820400601516 yrs)
- Last Updated
- Nov 14, 2013
- Licenses
-
45517 (CO)097071 (OH)24404 (WV)065446-L (PA)60981 (WI)
Practice Information
- Address
-
9200 W WISCONSIN AVEDEPARTMENT OF PATHOLOGYMILWAUKEE, WI, 532263522Browse WI providers · Browse ZIP 53226
- Phone
- 4148056966
- Fax
- 4148056980
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
- Additional Specialty
- Anatomic Pathology
- Additional Specialty
- Anatomic Pathology
- Additional Specialty
- Anatomic Pathology
- Additional Specialty
- Anatomic Pathology
Other Anatomic Pathology Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. SAUL M SUSTER | MD | 1215974795 |
| DR. MATTHEW WILSON ANDERSON | M.D.,PH.D. | 1265620777 |
| DR. ALEXANDER JAMES GALLAN | MD | 1780023101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.