Individual
ERICA KOSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10609 TESCH LN APT 30, ROTHSCHILD, WI 54474-9000
(715) 490-2264
Mailing address
10609 TESCH LN APT 30, ROTHSCHILD, WI 54474-9000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327189-31
WI
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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