Individual
ISABELLA MARIE KOUTSOPANAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 294-6464
Mailing address
2000 UNIVERSITY AVE, DUBUQUE, IA 52001-5099
(563) 589-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8893-23
WI
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2024
Last updated
06/25/2026
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