Individual
DAVID B KORNREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 N MAYFAIR RD, STE 500, WAUWATOSA, WI 53226-1409
(414) 257-2525
(414) 257-1772
Mailing address
2500 N MAYFAIR RD, STE 500, WAUWATOSA, WI 53226-1409
(414) 257-2525
(414) 257-1772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30095900
—
WI
Enumeration date
09/12/2005
Last updated
02/11/2008
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