Individual
MR. MARK J KORDUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3111 W RAWSON AVE, SUITE 215, FRANKLIN, WI 53132-9417
(414) 761-0727
(414) 761-0785
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(414) 761-0727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5407024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40302200
—
WI
Enumeration date
08/16/2006
Last updated
03/11/2016
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