Individual
MICHAEL O KOSCIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-2229
(414) 325-4851
Mailing address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-2229
(414) 325-4851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11458
WI
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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