Individual
DR. KENNETH URLAKIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
631 VIOLET CT, COLGATE, WI 53017-9319
(262) 388-6217
Mailing address
631 VIOLET CT, COLGATE, WI 53017-9319
(262) 388-6217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37072
WI
207Q00000X
Family Medicine Physician
Primary
37072-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32309000
—
WI
Enumeration date
02/22/2006
Last updated
12/13/2022
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