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Contact Information

JOHN M AGAIBY, MD
10400 75TH ST
KENOSHA, WI53142
 Phone: 262-948-6839
 Fax: 262-948-6818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN M AGAIBY · (Male)

NPI # 1235147877
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 41088
  • WI Medicaid 32578000
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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