Individual
MR. JARED THOMAS KORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9792 HIGHWAY 70, MINOCQUA, WI 54548-8747
(715) 502-1866
(715) 356-9379
Mailing address
1307 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1340
(715) 502-1866
(715) 356-9379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8819-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
04/14/2026
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