Mimi S Kokoska in Greenfield - Plastic Surgery Within The Head & Neck

Mimi S Kokoska - NPI 1770674897

Mimi S Kokoska is a Plastic Surgery Within The Head & Neck in Greenfield, Wisconsin. Mimi S Kokoska practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Mimi S Kokoska is 1770674897. The last update date is 2015-07-30.

Mimi S Kokoska's current location address is 4600 W Loomis Rd, Greenfield, Wisconsin. You can contact this provider via phone number 4142814466. The mailing address for Mimi S Kokoska is 4600 W Loomis Rd, Greenfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mimi S Kokoska
Address 4600 W Loomis Rd, Greenfield, Wisconsin
Phone Number 4142814466
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770674897
Provider Enumeration Date 2006-09-27
Last Updated Date 2015-07-30

Provider Mailing Address Detail

Address 4600 W Loomis Rd
City Greenfield
State Wisconsin (WI)
Post Code 532204858
Phone Number 4142814466
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Licence No E-3850
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3120016300 AR QUALCHOICE
P00082526 AR RAILROAD MEDICARE
E3850 AR TRICARE
150875001 AR --

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FAQs about Mimi S Kokoska

What is the unique 10-digit identification code issued to Mimi S Kokoska by the Centers for Medicare & Medicaid Services?

The Mimi S Kokoska has been assigned the NPI (National Provider Identifier) 1770674897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Mimi S Kokoska?

The Mimi S Kokoska is situated at 4600 W Loomis Rd, in the city of Greenfield, state of WI, with the zip code 532204858.

What is Mimi S Kokoska's area of expertise and its corresponding taxonomy classification?

The Mimi S Kokoska's field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1770674897 to Mimi S Kokoska?

The Centers for Medicare & Medicaid Services originally issued the 1770674897 to Mimi S Kokoska on 2006-09-27.

When was the information regarding Mimi S Kokoska, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mimi S Kokoska, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-30.

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