SPENCER A KOSTKA

OSHKOSH, WI
NPI1699563841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20547)
Enumeration Date2025-04-28
Last Update Date2026-03-11
Business Address
SPENCER A KOSTKA
220 WASHINGTON AVE
OSHKOSH, WI 54901-5030
Phone number: 920-236-4700
Mailing Address
SPENCER A KOSTKA
220 WASHINGTON AVE
OSHKOSH, WI 54901-5030
Phone number: 920-236-4700