Individual
MELISSA KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3185
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6633
WI
Other
Enumeration date
09/09/2015
Last updated
12/23/2024
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