Individual
LOUIE KOSTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, STE 840, MILWAUKEE, WI 53215-3669
(414) 649-3530
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
45636
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34434000
—
WI
Enumeration date
10/13/2006
Last updated
08/09/2023
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