Individual
LIA KOSTIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-5112
(608) 263-6400
Mailing address
1510 STADIUM WAY, APT 204, INDIANAPOLIS, IN 46202
(248) 238-4929
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
6631851
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2015
Last updated
03/17/2018
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