Individual
MICHAEL KOSNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(517) 332-1200
(517) 351-7122
Mailing address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003022
MI
Other
Enumeration date
09/28/2006
Last updated
08/25/2021
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