Individual
DR. REGINALD SY COSIQUIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50845-020
WI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
50845-020
WI
Other
Enumeration date
05/14/2008
Last updated
09/14/2020
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