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Mimi S Kokoska, MD
Otolaryngology Physician in Greenfield, Wisconsin
NPI 1770674897

Mimi S Kokoska is a Otolaryngology Physician based in Greenfield, WI. Mimi S Kokoska practices in Greenfield, WI and has the professional credentials of MD. The NPI Number for Mimi S Kokoska is 1770674897 and holds a License No. E-3850 (Wisconsin).

The current practice location address for Mimi S Kokoska is 4600 W Loomis Rd, Greenfield, WI and can be reached out via phone at 414-281-4466.

Location: 4600 W Loomis Rd, Greenfield, WI, 53220-4858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770674897
Provider Name
Mimi S Kokoska
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4600 W Loomis Rd, Greenfield, WI, 53220-4858
Phone Number
414-281-4466
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03120016300 01 AR QUALCHOICE
P00082526 01 AR RAILROAD MEDICARE
E3850 01 AR TRICARE
150875001 05 AR
institution
Provider Business Practice Location Address Details
Address
4600 W Loomis Rd
City
Greenfield
State
Wisconsin
Zip
53220-4858
Phone Number
414-281-4466
Fax Number
person
Provider Business Mailing Address Details
Address
4600 W Loomis Rd
City
Greenfield
State
Wisconsin
Zip
53220-4858
Phone Number
414-281-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
01054222A (Indiana)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
E-3850 (Arkansas)
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 tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
E-3850 (Arkansas)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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