Individual
CHANDLER SCOTT CORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 955-1450
(414) 955-0197
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1450
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
71703
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639515661
—
WI
Enumeration date
05/16/2013
Last updated
01/11/2021
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