Individual
SIMONIDA KOKANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-2411
(262) 878-2922
Mailing address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-2411
(262) 878-2922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50383020
WI
Other
Enumeration date
07/01/2011
Last updated
06/11/2014
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