Individual
DENNIS J KONTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5802 WASHINGTON AVE, STE 102, RACINE, WI 53406-4088
(262) 886-9100
(262) 886-9130
Mailing address
5802 WASHINGTON AVE, STE 102, RACINE, WI 53406-4088
(262) 886-9100
(262) 886-9130
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15656 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31175100
—
WI
Enumeration date
10/21/2005
Last updated
03/28/2008
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