Kostic, Mark A

Kostic, Mark A is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as his primary health care specialty. Kostic, Mark A can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 805-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 0101234771 Virginia
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 37218 Wisconsin

Profile Details

NPI number 1306893896
LBN Legal business name Kostic, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Oct 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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