Individual
DR. JAMES EDWARD KERTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1212 HORTON ST, LA CROSSE, WI 54601-6372
(507) 358-1765
Mailing address
2157 17TH ST NE, ROCHESTER, MN 55906-4313
(507) 358-1765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6684-15
WI
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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