Individual provider · Type 1 NPI
Katrina Corliss, MT
Medical Technologist · Fort Washacki, WY
NPI number
1013383934
Active
Practice location
29 Black Coal Rd, Laboratory
Fort Washacki, WY 82514
Fax (307) 332-7514
Mailing address
3223 E Stage Rd
Ionia, MI 48846-9718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist Primary | 246QM0706X | AAB 2050187 (MI) |
Medical Technologist: Definition to come...
3 other providers at this address
About NPI 1013383934
Katrina Corliss, MT's National Provider Identifier is 1013383934, issued on Aug 14, 2015. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Fort Washacki, WY. The record was last updated on Aug 14, 2015.