Individual
DR. STEVEN ROSS KOUTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13780 W GREENFIELD AVE, STE. 780, BROOKFIELD, WI 53005-7192
(262) 782-4860
(262) 782-7720
Mailing address
1660 N PROSPECT AVE, 1507, MILWAUKEE, WI 53202
(920) 629-0348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6519-15
WI
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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