Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN L MORTARA, MD
ActiveDR. KEVIN L MORTARA, MD is a Hematology healthcare provider located in GREEN BAY, Wisconsin. NPI 1033109210 is currently active in the NPPES registry. Verify at CMS.
Hematology · GREEN BAY, WI
Registration Details
- NPI Number
- 1033109210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.615822812973 yrs)
- Last Updated
- Jun 12, 2014
- License
-
48997-20 (WI)
Practice Information
- Address
-
1580 COMMANCHE AVEGREEN BAY, WI, 543135751Browse WI providers · Browse ZIP 54313
- Phone
- 9204358326
- Fax
- 9204304659
- Primary Specialty
-
Hematology
207RH0003X
Other Hematology Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW L RYAN | M.D. | 1548233612 |
| JERRY M WINKLER | M.D. | 1851365910 |
| UMANG GAUTAM | MD | 1477564292 |
| MICHAEL J VOLK | M.D. | 1750475851 |
| ANTHONY J JASLOWSKI | M.D. | 1467546507 |
| JULES H BLANK | M.D. | 1730273889 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.