Stephen M Kordiyak, CRNA in Antigo, WI - Nurse Anesthetist, Certified Registered

Stephen M Kordiyak, CRNA is a Nurse Anesthetist, Certified Registered based in Antigo, Wisconsin. Stephen M Kordiyak is licensed to practice in Wisconsin (license number 113499) and his current practice location is 115 E 5th Ave, Antigo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 623-2331.

NPI number for Stephen M Kordiyak is 1912978099 and his current mailing address is 225 S Executive Dr, Brookfield, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912978099.

Contact Information

	Stephen M Kordiyak, CRNA
	115 E 5th Ave, Antigo, WI 54409-2711
	(715) 623-2331
	Not Available

Provider's Profile

Full Name	Stephen M Kordiyak
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	115 E 5th Ave, Antigo, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1912978099
Provider Enumeration Date: 01/27/2006
Last Update Date: 04/02/2010

Medical Identifiers

Medical identifiers for Stephen M Kordiyak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912978099	NPI	-	NPPES
044383	Other		CRNA RECERTIFICATION CARD
43314500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113499 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen M Kordiyak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephen M Kordiyak, CRNA 225 S Executive Dr, Brookfield, WI 53005-4257 Ph: (262) 787-4026	Stephen M Kordiyak, CRNA 115 E 5th Ave, Antigo, WI 54409-2711 Ph: (715) 623-2331

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Nurse Anesthetist, Certified Registered Nurses in Antigo, WI

Stephen Larson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331
Todd E. Anderson, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 E 5th Ave, Antigo, WI 54409 Phone: 715-623-2331

Stephen M Kordiyak, CRNA - Nurse Anesthetist, Certified Registered in Antigo, WI