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Individual

DEBORA J KORTBEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
58693
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43287400
WI
Enumeration date
08/13/2006
Last updated
07/08/2007
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