ANDREW RUSSELL KOST

GREEN BAY, WI
NPI1033861729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  208-17)
Enumeration Date2022-01-24
Last Update Date2022-01-24
Business Address
ANDREW RUSSELL KOST CAA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3605
Mailing Address
ANDREW RUSSELL KOST CAA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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