KEVEN R MOTTINGER

KENOSHA, WI
NPI1154377091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1868)
Enumeration Date2006-05-25
Last Update Date2020-08-31
Business Address
KEVEN R MOTTINGER PAC
3400 MARKET LN
KENOSHA, WI 53144-3430
Phone number: 262-551-4600
Mailing Address
KEVEN R MOTTINGER PAC
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
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