Whalio Doctors

NPI 1174685598

Christopher B Kordiyak, MD

Practitioner Family Medicine Physician Marinette, WI

Practice location

Address
3200 Shore Dr Suite 4, Marinette, WI 54143-4292
Phone
(715) 732-8610
Fax
(715) 732-8650
Mailing address
PO Box 1866, Green Bay, WI 54305-1866

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 30743-020 (WI)

Registry record

NPI
1174685598
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2006
Record last updated
28 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.