| Christopher B Kordiyak, MD | |
|
3200 Shore Dr, Suite 4, Marinette, WI 54143-4292 | |
| (715) 732-8610 | |
| (715) 732-8650 |
| Full Name | Christopher B Kordiyak |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3200 Shore Dr, Marinette, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174685598 | NPI | - | NPPES |
| 31546700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30743-020 (Wisconsin) | Primary |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher B Kordiyak, MD Po Box 1866, Green Bay, WI 54305-1866 Ph: (920) 445-7222 | Christopher B Kordiyak, MD 3200 Shore Dr, Suite 4, Marinette, WI 54143-4292 Ph: (715) 732-8610 |
Dr. John F Nielsen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8050 | |
James W Opoien, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2820 Roosevelt Road, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Dr. Mridani Choudhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8130 Fax: 715-732-8131 | |
Jon L Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Road, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Dr. Debora Elena Bensi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8131 | |
Sarwat Jabeen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3123 Shore Dr, Suite 102, Marinette, WI 54143 Phone: 715-732-2299 |