Individual
DR. MICHAEL JOHN KOSOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2010 EASTWOOD DR, SUITE 206, MADISON, WI 53704-5387
(608) 241-1579
(608) 241-2061
Mailing address
2010 EASTWOOD DRIVE, SUITE 206, MADISON, WI 53704
(608) 241-1579
(608) 241-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001511-015
WI
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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