Search › Wisconsin › 163W00000X
Colleen Koderca
NPI 1841675204 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3317-Meachem Rd
Racine, WI 53405 - Phone
- (262) 945-7476
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-28
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