Eric Kortbein P.A.-C

NPI 1093812877 - Physician Assistant - 363A00000X

NPI Details
NPI 1093812877
Gender Male
Enumeration Date 09/20/2006
Last Updated 02/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
5000 W CHAMBERS ST
MILWAUKEE WI, 53210-1650, US
Phone (414) 447-2000
Fax
Business Location
75 REMITT DRIVE
LOCKBOX 1574
CHICAGO IL, 60675-1574, US
Phone (866) 916-5259
Fax (231) 922-4030
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1364
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According to our database, Eric Kortbein P.A.-C NPI is 1093812877, taxonomy code is 363A00000X and license number is 1364, license state is located at Wisconsin. Eric Kortbein P.A.-C physically located at 5000 W Chambers St, Milwaukee WI, 53210-1650. NPI Number Eric Kortbein P.A.-C has the Individual type.

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1093812877 NPI number is provided on an as is basis without warranty of any kind. 1093812877 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Kortbein P.A.-C are for informational purposes only.