Individual
ANNA KOSTELANETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 W STATE ST APT 432, MILWAUKEE, WI 53213-2995
(414) 447-7330
Mailing address
3070 N 51ST ST, SUITE P309, MILWAUKEE, WI 53210-1645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
47900-020
WI
208000000X
Pediatrics Physician
47900-020
WI
208000000X
Pediatrics Physician
Primary
47900-20
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
47900-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34651100
—
WI
Enumeration date
02/22/2006
Last updated
05/23/2025
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