Individual
DR. ELENA A. KOSSYREVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Mailing address
8616 S STRATFORD RD, OAK CREEK, WI 53154-2670
(920) 366-8566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
12/17/2021
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