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Eric Russell Kotal, MD
Student in an Organized Health Care Education/Training Program in Beaver Dam, Wisconsin
NPI 1194036368

Eric Russell Kotal is a Student in an Organized Health Care Education/Training Program based in Beaver Dam, WI. Eric Russell Kotal practices in Beaver Dam, WI and has the professional credentials of MD. The NPI Number for Eric Russell Kotal is 1194036368 and holds a License No. 4301097060 (Wisconsin).

The current practice location address for Eric Russell Kotal is 707 S University Ave, Beaver Dam, WI and can be reached out via phone at 920-887-6606.

Location: 707 S University Ave, Beaver Dam, WI, 53916-9255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194036368
Provider Name
Eric Russell Kotal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
707 S University Ave, Beaver Dam, WI, 53916-9255
Phone Number
920-887-6606
Fax Number
Provider Enumeration Date
06/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 S University Ave
City
Beaver Dam
State
Wisconsin
Zip
53916-3027
Phone Number
920-887-6606
Fax Number
person
Provider Business Mailing Address Details
Address
707 S University Ave
City
Beaver Dam
State
Wisconsin
Zip
53916-3027
Phone Number
920-887-6606
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4301097060 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301097060 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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