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Individual

EVAN KOURTJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1240 UNIVERSITY BAY DR, MADISON, WI 53705-2253
(734) 255-7979
Mailing address
1240 UNIVERSITY BAY DR, MADISON, WI 53705-2253
(734) 255-7979

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72239
WI

Other

Enumeration date
04/05/2018
Last updated
11/08/2024
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