Thomas Gregory Kuerbitz II PA-C

NPI 1033420898 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033420898
Gender Male
Enumeration Date 06/27/2010
Last Updated 09/17/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
300 N MILWAUKEE AVE STE D
LAKE VILLA IL, 60046-8563, US
Phone (847) 356-6634
Fax (847) 356-7264
Business Location
300 N MILWAUKEE AVE STE D
LAKE VILLA IL, 60046-8563, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Wisconsin
License Number 2725
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According to our database, Mr. Thomas Gregory Kuerbitz II PA-C NPI is 1033420898, taxonomy code is 363AM0700X and license number is 2725, license state is located at Wisconsin. Thomas Gregory Kuerbitz II PA-C physically located at 300 N Milwaukee Ave Ste D, Lake Villa IL, 60046-8563. NPI Number Thomas Gregory Kuerbitz II PA-C has the Individual type.

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1033420898 NPI number is provided on an as is basis without warranty of any kind. 1033420898 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Gregory Kuerbitz II PA-C are for informational purposes only.