Individual
YURIY KOTSUROVSKYY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7136
(414) 219-6264
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85594-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2023
Last updated
07/01/2025
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