Individual
CAROL KOSMICKE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
46023
MN
2084P0800X
Psychiatry Physician
Primary
61013
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188455700
—
MN
Enumeration date
01/18/2006
Last updated
02/04/2016
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