Individual
DR. MARK A KOSTIC
Active
Individual
DR. MARK A KOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
0101234771
VA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
37218
WI
Other
Enumeration date
05/28/2006
Last updated
10/10/2007
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