AMANDA J KOTH

MILWAUKEE, WI
NPI1811558612
Former NameAMANDA J LORGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4709-23)
Enumeration Date2019-06-24
Last Update Date2025-09-30
Business Address
AMANDA J KOTH PA-C
2801 W KINNICKINNIC RIVER PKWY STE 880
MILWAUKEE, WI 53215-3678
Phone number: 414-649-3400
Mailing Address
AMANDA J KOTH PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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