Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN KOUDIM, PTA
ActiveBRYAN KOUDIM, PTA is a Specialist/Technologist, Surgical healthcare provider located in MILWAUKEE, Wisconsin. NPI 1821540618 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · MILWAUKEE, WI
Registration Details
- NPI Number
- 1821540618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2016 (9.8171023291935 yrs)
- Last Updated
- Oct 27, 2016
- License
-
254819 (WI)
Practice Information
- Address
-
9047 W GREENFIELD AVEMILWAUKEE, WI, 532142808Browse WI providers · Browse ZIP 53214
- Phone
- 4144539290
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| MR. BRYANT CANNON | — | 1801081393 |
| MRS. TANYA LYNNE WATSON | — | 1366790867 |
| RINCA SHAY SARFF | RE | 1871173260 |
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.