Kotal, Eric Russell

Kotal, Eric Russell is an individual health care provider with primary practice located at 707 S University Ave , Beaver Dam WI 53916-3027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kotal, Eric Russell can be contacted via phone (920) 887-6606.

Contact Information

Primary practice address
707 S University Ave Beaver Dam WI 53916-3027
Phone: (920) 887-6606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301097060 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301097060 Michigan

Profile Details

NPI number 1194036368
LBN Legal business name Kotal, Eric Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Apr 21st, 2017 - about 8 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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