SHANNON L KOSS

APPLETON, WI
NPI1861583007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1604)
Enumeration Date2006-09-27
Last Update Date2022-01-18
Business Address
SHANNON L KOSS PAC
1531 S MADISON ST
APPLETON, WI 54915
Phone number: 920-996-3700
Mailing Address
SHANNON L KOSS PAC
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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