Peter Kordiyak, PA C

NPI 1043207707 · on the registry since 2005

Practice

Address: 200 Patriot Drive
Little Chute, WI 54140
Phone: (920) 687-2800
Organisation at this address: Ascension Medical Group-Fox Valley Wisconsin, Inc
Ascension Medical Group-Fox Valley Wisconsin, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin