Korducki, Mark J

Korducki, Mark J is an individual health care provider with primary practice located at 3111 W Rawson Ave Suite 215, Franklin WI 53132-9417. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Korducki, Mark J can be contacted via phone (414) 761-0727.

Contact Information

Primary practice address
3111 W Rawson Ave Suite 215 Franklin WI 53132-9417
Phone: (414) 761-0727
Fax: (414) 761-0785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5407024 Wisconsin

Profile Details

NPI number 1801909627
LBN Legal business name Korducki, Mark J
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801909627 NPPES
Wisconsin MEDICAID 40302200

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