# PHYSICAL MEDICAL ASSOCIATES OF WISCONSIN SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew Kortes MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154002491
- **Authorized official:** DR. MATTHEW JAMES KORTES MD (OWNER)
- **Authorized official phone:** (608) 340-8740

## Contact information

- **Practice address:** 5535 NOBEL DR, FITCHBURG, WI 53711-4955
- **Practice address phone:** (999) 999-9999
- **Mailing address:** PO BOX 680, OCONOMOWOC, WI 53066-0680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 09/19/2023