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1588654081
DENNIS T COSTAKOS
LA CROSSE, WI
NPI
1588654081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WI 30281)
Enumeration Date
2005-10-26
Last Update Date
2021-09-01
Business Address
DENNIS T COSTAKOS MD
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-785-0940
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Mailing Address
DENNIS T COSTAKOS MD
200 1ST ST SW
ROCHESTER, MN 55905-0002
Phone number: 608-785-0940
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