Individual
CORY KATSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7395 FREDERICK PL, WEST BEND, WI 53090-8643
(262) 339-8093
Mailing address
7395 FREDERICK PL, WEST BEND, WI 53090-8643
(262) 339-8093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243446-30
WI
164W00000X
Licensed Practical Nurse
321915-31
WI
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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