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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC RUSSELL KOTAL, MD

Active

ERIC RUSSELL KOTAL, MD is a Emergency Medicine healthcare provider located in BEAVER DAM, Wisconsin. NPI 1194036368 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · BEAVER DAM, WI

Registration Details

NPI Number
1194036368
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2010 (16.183234402795 yrs)
Last Updated
Apr 21, 2017
Licenses
4301097060 (MI)
4301097060 (MI)

Practice Information

Address
707 S UNIVERSITY AVE
BEAVER DAM, WI, 539163027
Browse WI providers · Browse ZIP 53916
Phone
9208876606
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in BEAVER DAM, WI

Name Credential NPI
DR. JEFFREY HOWARD LOVELL M.D. 1801877063
RICHARD T TOVAR M.D. 1437187341
LAURA ELLEN CORREA D.O. 1578702601
BRYAN HARTLAND LASSNER M.D. 1871859884
DR. TONYA RAE NEUMANN M.D. 1477993137
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.