PAIGE M KOSTISHAK

KENOSHA, WI
NPI1942838479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  5088)
Enumeration Date2020-03-30
Last Update Date2023-11-13
Business Address
PAIGE M KOSTISHAK PA-C, MPH
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
Mailing Address
PAIGE M KOSTISHAK PA-C, MPH
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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