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Contact Information

DENNIS T COSTAKOS, MD
700 WEST AVE S
LA CROSSE, WI54601-4783
 Phone: 608-785-0940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DENNIS T COSTAKOS · (Male)

NPI Number 1588654081
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 09/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 30281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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