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1033109210
KEVIN L MORTARA
GREEN BAY, WI
NPI
1033109210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: WI 48997-20)
Enumeration Date
2005-10-27
Last Update Date
2014-06-12
Business Address
Dr. KEVIN L MORTARA MD
1580 COMMANCHE AVE
GREEN BAY, WI 54313-5751
Phone number: 920-435-8326
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Mailing Address
Dr. KEVIN L MORTARA MD
1580 COMMANCHE AVE
GREEN BAY, WI 54313-5751
Phone number: 920-435-8326
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