Amanda Anne Kossak, M.D.

NPI #1154783256 in Appleton, Wisconsin

Provider Information

NPI Number: 1154783256
Entity Type: Individual
Name: Amanda Anne Kossak, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 28, 2016
Last Updated: Jul 29, 2020

Practice Location

Address: 2500 E CAPITOL DR
City: Appleton
State: Wisconsin
ZIP Code: 54911-8735
Phone: (920) 830-6877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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