Individual
PETER J KORDIYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
200 PATRIOT DRIVE, LITTLE CHUTE, WI 54140
(920) 687-2800
Mailing address
N6545 HARRISON RD, HILBERT, WI 54129
(920) 687-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
123
WI
Other
Enumeration date
09/28/2005
Last updated
07/08/2007
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