Peter J Kordiyak PA C

NPI 1043207707 - Physician Assistant - 363A00000X

NPI Details
NPI 1043207707
Gender Male
Enumeration Date 09/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
200 PATRIOT DRIVE
LITTLE CHUTE WI, 54140, US
Phone (920) 687-2800
Fax
Business Location
N6545 HARRISON RD
HILBERT WI, 54129, US
Phone (920) 687-2800
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 123
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According to our database, Peter J Kordiyak PA C NPI is 1043207707, taxonomy code is 363A00000X and license number is 123, license state is located at Wisconsin. Peter J Kordiyak PA C physically located at 200 Patriot Drive, Little Chute WI, 54140. NPI Number Peter J Kordiyak PA C has the Individual type.

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1043207707 NPI number is provided on an as is basis without warranty of any kind. 1043207707 is maintained by the National Plan & Provider Enumeration System. The contents of Peter J Kordiyak PA C are for informational purposes only.