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Individual

AMANDA ANNE KOSSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 830-6877
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 738-4600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67974
WI

Other

Enumeration date
03/28/2016
Last updated
07/29/2020
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