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Individual

ALEXANDRA B OSUCHOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58427
MN
207R00000X
Internal Medicine Physician
Primary
67313-20
WI

Other

Enumeration date
06/01/2010
Last updated
10/04/2022
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