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Contact Information

GRETA M KOSTAC, APNP
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI54935
 Phone: 920-907-7000
 Fax: 920-907-7012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GRETA M KOSTAC · (Female)

NPI Number 1841307386
Status Active
Credentials APNP
Entity Individual
Enumeration date 08/23/2006
Last updated 02/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1274-033
  • WI License # 83758-030
  • WI Medicaid 41262800
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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