MR. Frederick D Kosmach, PA-C

NPI #1760487722 in Minong, Wisconsin

Provider Information

NPI Number: 1760487722
Entity Type: Individual
Name: MR. Frederick D Kosmach, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 16, 2005
Last Updated: May 8, 2014

Practice Location

Address: 600 W SHELL CREEK RD
City: Minong
State: Wisconsin
ZIP Code: 54859-9302
Phone: (715) 466-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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