Individual
MIGUEL ANGEL VEGA COSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 SCHOEN ST APT A, GREEN BAY, WI 54302-3158
(920) 857-4103
Mailing address
738 SCHOEN ST APT A, GREEN BAY, WI 54302-3158
(920) 857-4103
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
V222-5418-5341-03
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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