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1154783256
AMANDA ANNE KOSSAK
APPLETON, WI
NPI
1154783256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 67974)
Enumeration Date
2016-03-28
Last Update Date
2020-07-29
Business Address
AMANDA ANNE KOSSAK M.D.
2500 E CAPITOL DR
APPLETON, WI 54911-8735
Phone number: 920-830-6877
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Mailing Address
AMANDA ANNE KOSSAK M.D.
2500 E CAPITOL DR
APPLETON, WI 54911-8735
Phone number: 920-738-4600
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