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Contact Information

MIMI S KOKOSKA, MD
4600 W LOOMIS RD
SUITE 201
GREENFIELD, WI53220-4858
 Phone: 414-281-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MIMI S KOKOSKA · (Female)

NPI Number 1770674897
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 07/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-3850
  • IN License # 01054222A
  • WI License # 64145
  • AR Medicaid 150875001
  • AR Other 03120016300 QUALCHOICE
  • AR Other P00082526 RAILROAD MEDICARE
  • AR Other E3850 TRICARE
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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