Individual
TIMOTHY ALLEN KOSTUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Mailing address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2888-012
WI
Other
Enumeration date
08/15/2006
Last updated
04/09/2026
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