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Individual

KATHERINE MARY CZAJKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2208
Mailing address
6917 62ND AVE, KENOSHA, WI 53142-1430
(262) 697-9189

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1302-024
WI

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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