Individual
DR. JODI M KORNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150-2613
(414) 422-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
43394
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34109800
—
WI
Enumeration date
10/03/2006
Last updated
08/06/2024
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