Individual
DR. GERALD W KOSKINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD.
Contact information
Practice address
3278 W MAIN ST, EAST TROY, WI 53120-0165
(262) 642-9719
(262) 642-2228
Mailing address
3278 W MAIN ST, P O BOX 165, EAST TROY, WI 53120-0165
(262) 642-9719
(262) 642-2228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2184
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38574600
—
WI
Enumeration date
01/10/2007
Last updated
01/28/2009
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