Individual
DR. GEORGE V KUTTICKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 828-2700
(920) 828-2905
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38861
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32352700
—
WI
Enumeration date
08/23/2006
Last updated
10/13/2023
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