Individual
BRIDGET M COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1711 S 11TH ST, GERALD L. IGNACE INDIAN HEALTH CENTER, MILWAUKEE, WI 53204-3310
(414) 383-9526
(414) 649-2711
Mailing address
1711 S 11TH ST, GERALD L. IGNACE INDIAN HEALTH CENTER, MILWAUKEE, WI 53204-3310
(414) 383-9526
(414) 649-2711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4950 33
WI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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