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Dr. Steven Mather Kotsonis, MD
General Practice Physician in Pewaukee, Wisconsin
NPI 1306017991

Steven Mather Kotsonis is a General Practice Physician based in Butler, WI. Steven Mather Kotsonis practices in Pewaukee, WI and has the professional credentials of MD. The NPI Number for Steven Mather Kotsonis is 1306017991 and holds a License No. 53437-20 (Wisconsin).

The current practice location address for Steven Mather Kotsonis is 1109 Cecelia Dr, Pewaukee, WI and can be reached out via phone at 262-373-6733 and via fax at 262-373-6018.

Location: 1109 Cecelia Dr, Pewaukee, WI, 53007-0089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306017991
Provider Name
Steven Mather Kotsonis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1109 Cecelia Dr, Pewaukee, WI, 53007-0089
Phone Number
262-373-6733
Fax Number
262-373-6018
Provider Enumeration Date
03/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100031662 05 WI
institution
Provider Business Practice Location Address Details
Address
1109 Cecelia Dr
City
Pewaukee
State
Wisconsin
Zip
53072-2524
Phone Number
262-373-6733
Fax Number
262-373-6018
person
Provider Business Mailing Address Details
Address
1109 Cecelia Dr
City
Pewaukee
State
Wisconsin
Zip
53072-2524
Phone Number
262-373-6733
Fax Number
262-373-6018
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
53437-20 (Wisconsin)
Definition
Definition to come...
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