Eric Russell Kotal, MD

NPI #1194036368 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1194036368
Entity Type: Individual
Name: Eric Russell Kotal, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Jun 23, 2010
Last Updated: Apr 21, 2017

Practice Location

Address: 707 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-3027
Phone: (920) 887-6606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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