Individual
DR. ERNESTO L ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 749-4000
(920) 749-4015
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 749-4000
(920) 749-4015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24351
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30439500
—
WI
Enumeration date
03/05/2007
Last updated
07/08/2007
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