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Individual

MRS. BONNIE LOU KOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DRNP, FNP-BC

Contact information

Practice address
1601 ROOSEVELT RD, NIAGARA, WI 54151-1043
(888) 724-6377
(715) 251-1681
Mailing address
1601 ROOSEVELT RD, NIAGARA, WI 54151-1043
(888) 724-6377
(715) 251-1681

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2038-033
WI
363L00000X
Nurse Practitioner
4704139032
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B10056
BCBS OF MI
MI
05
1285626242
MI
05
21329700
WI
Enumeration date
08/16/2005
Last updated
03/07/2023
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