Korducki, John Paul

Korducki, John Paul is an individual health care provider with primary practice located at 13250 Washington Ave , Mount Pleasant WI 53177-1516. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Korducki, John Paul can be contacted via phone (262) 799-8700.

Contact Information

Primary practice address
13250 Washington Ave Mount Pleasant WI 53177-1516
Phone: (262) 799-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 81209-20 Wisconsin

Profile Details

NPI number 1851910772
LBN Legal business name Korducki, John Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated Aug 16th, 2023 - about last year

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 1851910772 NPPES
Wisconsin MEDICAID 100239187

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