Individual
MARY KOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2424 15TH AVE, SOUTH MILWAUKEE, WI 53172-2410
(414) 768-8055
(414) 768-5720
Mailing address
2424 15TH AVE, SOUTH MILWAUKEE, WI 53172-2410
(414) 768-8055
(414) 768-5720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5366-33
WI
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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