Individual
SAWYER KOSSL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
244 FORT DR, NEENAH, WI 54956-5081
(920) 475-9087
(855) 624-3321
Mailing address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(920) 475-9087
(855) 624-3321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
170124-030
WI
363L00000X
Nurse Practitioner
Primary
5682-33
WI
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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