Individual
CHRISTOPHER B KORDIYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 SHORE DR, SUITE 4, MARINETTE, WI 54143-4292
(715) 732-8610
(715) 732-8650
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30743-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31546700
—
WI
Enumeration date
12/14/2006
Last updated
10/28/2016
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