Individual
PATRICIA K KOKOTAILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6417 SHENANDOAH WAY, MADISON, WI 53705-2542
(608) 233-0982
Mailing address
6417 SHENANDOAH WAY, MADISON, WI 53705-2542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30309
WI
Other
Enumeration date
03/09/2006
Last updated
09/23/2016
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