Individual
CHARLENE KOSLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3766 PLEASANT VALLEY RD, WEST BEND, WI 53095-9272
(262) 677-0217
Mailing address
3766 PLEASANT VALLEY RD, WEST BEND, WI 53095-9272
(262) 677-0217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169887-30
WI
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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