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JOSEPH GEORGE KOVACIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.119037
IL
207P00000X
Emergency Medicine Physician
Primary
5101023053
MI
207P00000X
Emergency Medicine Physician
54193-21
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119037 4
IL
01
1144419896
BCBSWI
WI
05
1144419896
WI
01
KOVACJOS
MERCYCARE INSURANCE
WI
Enumeration date
10/18/2007
Last updated
06/13/2017
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