Individual
AMY S COULTHARD-ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 ARBOR WAY, KAUKAUNA, WI 54130-7305
(920) 766-3200
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43544200
—
WI
Enumeration date
03/10/2006
Last updated
11/29/2021
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