NATHAN KUTTICKAT

MILWAUKEE, WI
NPI1053008060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-19
Last Update Date2023-04-19
Business Address
NATHAN KUTTICKAT DO
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-7136
Mailing Address
NATHAN KUTTICKAT DO
519 E CEDAR LN
MEQUON, WI 53092-6104
Phone number: 920-889-0912