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Individual

DANIEL G KOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD SC

Contact information

Practice address
704 S WEBSTER AVE STE 1C, GREEN BAY, WI 54301-3528
(920) 433-3486
(920) 433-7994
Mailing address
704 S WEBSTER AVE STE 1C, GREEN BAY, WI 54301-3528
(920) 433-3486
(920) 433-7994

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29565
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29565
LICENSE
WV
Enumeration date
12/06/2005
Last updated
03/30/2020
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