Whalio Doctors

NPI 1790842631

John S Pallin, MD

Practitioner Specialist Kenosha, WI

Practice location

Address
10117 74th St Suite 150, Kenosha, WI 53142-7533
Phone
(262) 697-7770
Fax
(262) 697-7771

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 29659020 (WI)

Registry record

NPI
1790842631
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.