Individual
DENNIS H KORDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Mailing address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(693) 217-5462
(269) 321-1705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008777
MI
363AS0400X
Surgical Physician Assistant
5601008777
MI
Other
Enumeration date
09/18/2018
Last updated
01/02/2023
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