| Doctor Name: | DR. JOHN P KISER |
| NPI Number: | 1871600304 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 23110 |
| Business Practice Address: | 2253 W Mason St #200 Green Bay, WI - 54303 |
| Business Phone Number: | 9203277300 |
| Business Fax Number: | 9203277301 |
| Mailing Address: | 3301 W Forest Home Ave, MILWAUKEE |
| State: | WI |
| Postal Code: | 532152843 |
| Phone Number: | 4146476326 |
| Fax Number: | 4146718860 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |