Individual
MR. JAY WAYNE KUDRONOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-7422
Mailing address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-7422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5929-024
WI
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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