Individual
SAMUEL DOUGLAS KATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
2560 BEL MEADOW DR, GREEN BAY, WI 54311-6775
(920) 544-1028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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