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Bryan Koudim, PTA
Other Specialist/Technologist in Milwaukee, Wisconsin
NPI 1821540618

Bryan Koudim is a Other Specialist/Technologist based in Muskego, WI. Bryan Koudim practices in Milwaukee, WI and has the professional credentials of PTA. The NPI Number for Bryan Koudim is 1821540618 and holds a License No. 254819 (Wisconsin).

The current practice location address for Bryan Koudim is 9047 W Greenfield Ave, Milwaukee, WI and can be reached out via phone at 414-453-9290. You can also correspond with Bryan Koudim through the mailing address at S78W18465 LIONS PARK DR, MUSKEGO, WI - 53150-8704 (mailing address contact number: 262-309-1253).

Location: 9047 W Greenfield Ave, Milwaukee, WI, 53150-8704
person
Provider Profile Details
NPI Number
1821540618
Provider Name
Bryan Koudim
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
9047 W Greenfield Ave, Milwaukee, WI, 53150-8704
Phone Number
414-453-9290
Fax Number
Provider Enumeration Date
10/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9047 W Greenfield Ave
City
State
Zip
53214-2808
Phone Number
414-453-9290
Fax Number
person
Provider Business Mailing Address Details
Address
S78W18465 Lions Park Dr
City
State
Zip
53150-8704
Phone Number
262-309-1253
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
254819 (Wisconsin)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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