Individual
MARISA ANGELINE BARTZ-KURYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578901427
—
WI
01
—
60878
ARIZONA MEDICAL BOARD
AZ
01
—
Q9122
TEXAS MEDICAL BOARD
TX
Enumeration date
06/12/2013
Last updated
07/19/2021
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