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Individual

DR. KOSTANDINOS TSOULFAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4131 W LOOMIS RD, #300, GREENFIELD, WI 53221-2051
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, #300, GREENFIELD, WI 53221-2051
(414) 325-7246
(414) 325-3770

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49097
WI
208VP0000X
Pain Medicine Physician
Primary
49097-020
WI

Other

Enumeration date
11/10/2006
Last updated
02/24/2014
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