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Individual

DAVID J KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3203 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708
Mailing address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
17319
WI
208800000X
Urology Physician
Primary
17319-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17319-020
LICENSE
WI
01
19-00255
MEDICA
WI
01
208D3KA
HMO OF WISCONSIN
WI
05
31066600
WI
01
5493
SECURITY HEALTH PLAN
WI
01
KOO217
WAUSAU INSURANCE
WI
Enumeration date
10/31/2006
Last updated
09/03/2009
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