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Individual

SANDRA KOESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188
(262) 303-5505
Mailing address
604 N 99TH ST, WAUWATOSA, WI 53226-4312
(414) 303-5128

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1442
WI

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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