Individual
DR. GORDON D. KORTHALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 S MAIN ST, OSHKOSH, WI 54902-6074
(920) 233-8882
(920) 303-2736
Mailing address
600 S. MAIN ST., OSHKOSH, WI 54902
(920) 233-8882
(920) 303-2736
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4375-015
WI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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