Mark Kaminski

NPI 1619120342 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1619120342
Gender Male
Enumeration Date 10/26/2008
Last Updated 10/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3821 S CHICAGO AVE
SOUTH MILWAUKEE WI, 53172-3712, US
Phone (414) 762-6379
Fax
Business Location
6191 WALNUT LN UNIT 74
CUDAHY WI, 53110-3465, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 932-019
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According to our database, Mark Kaminski NPI is 1619120342, taxonomy code is 225200000X and license number is 932-019, license state is located at Wisconsin. Mark Kaminski physically located at 3821 S Chicago Ave, South Milwaukee WI, 53172-3712. NPI Number Mark Kaminski has the Individual type.

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1619120342 NPI number is provided on an as is basis without warranty of any kind. 1619120342 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Kaminski are for informational purposes only.