# ANNA KOSTELANETZ, MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376043042
- **Authorized official:** ANNA KOSTELANETZ (MD)
- **Authorized official phone:** (414) 447-7330

## Contact information

- **Practice address:** 3070 N 51ST ST STE P309, MILWAUKEE, WI 53210-1645
- **Practice address phone:** (414) 447-7330
- **Mailing address:** 3070 N 51ST ST STE P309, MILWAUKEE, WI 53210-1645
- **Mailing address phone:** (414) 447-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 47900 | WI | Yes |

## Other

- **Enumeration date:** 02/19/2018
- **Last updated:** 02/19/2018