Individual
DR. ROBERT ANDREW KORTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
457 W GRAND AVE, PORT WASHINGTON, WI 53074
(262) 284-9011
Mailing address
PO BOX 428, 457 W GRAND AVE, PORT WASHINGTON, WI 53074
(262) 284-9011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4001901
WI
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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