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Individual

MISS MARY KOFIGAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
10020 - 33 NP

Contact information

Practice address
946 N VAN BUREN ST, MILWAUKEE, WI 53202-3216
(414) 671-9355
(888) 376-4067
Mailing address
946 N VAN BUREN ST, MILWAUKEE, WI 53202-3216
(414) 671-9355
(888) 376-4067

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1002033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024001821
WI

Other

Enumeration date
04/05/2020
Last updated
03/26/2025
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