Kirchen, Gwynne Deboer

Kirchen, Gwynne Deboer is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Anesthesiology, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Kirchen, Gwynne Deboer can be contacted via phone (414) 805-6100.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Anesthesiology Milwaukee WI 53226-3522
Phone: (414) 805-6100
Fax: (414) 805-6147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 61714 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 61714 Wisconsin

Profile Details

NPI number 1972879989
LBN Legal business name Kirchen, Gwynne Deboer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2012
Last updated Jan 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972879989 NPPES
Wisconsin MEDICAID 1972879989

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