Lee, Peter Kisuk

Lee, Peter Kisuk is an individual health care provider with primary practice located at 2116 Craig Rd Mmc - Eau Claire Medical Offices, Eau Claire WI 54701-6149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lee, Peter Kisuk can be contacted via phone (715) 858-4500.

Contact Information

Primary practice address
2116 Craig Rd Mmc - Eau Claire Medical Offices Eau Claire WI 54701-6149
Phone: (715) 858-4500
Fax: (715) 858-4502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 40742 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 40742 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 20286 Wisconsin

Profile Details

NPI number 1750462198
LBN Legal business name Lee, Peter Kisuk
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 21st, 2021 - about 5 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 1750462198 NPPES
Minnesota Other 121915 UCARE
Minnesota Other 656310 UCARE
Minnesota Other 03-00010 UCARE
Minnesota MEDICAID 0512590 UCARE
Minnesota Other 070012427 UCARE
Minnesota MEDICAID 383318600 UCARE
Minnesota Other 0300035 UCARE
Minnesota Other 656310 UCARE
Minnesota Other 1018635 UCARE
Minnesota Other 11G68LE UCARE
Minnesota Other HP27293 UCARE

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