| Daniel G Koster Md Sc | |
|
704 S Webster Ave Ste 1c Green Bay WI 54301-3528 | |
| (920) 433-3486 | |
| Not Available |
| Full Name | Daniel G Koster Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 704 S Webster Ave Ste 1c, Green Bay, Wisconsin |
| Authorized Official Name and Position | Sheri L Wanhala-paulsen (OFFICE COORDINATOR) |
| Authorized Official Contact | 9204333486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel G Koster Md Sc 704 S Webster Ave Ste 1c Green Bay WI 54301-3528 Ph: (920) 433-3486 | Daniel G Koster Md Sc 704 S Webster Ave Ste 1c Green Bay WI 54301-3528 Ph: (920) 433-3486 |
| NPI Number | 1487616033 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 9032155148 |
|---|---|
| Medicare Enrollment ID | O20050629000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487616033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel G Koster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992789689 PECOS PAC ID: 0648252635 Enrollment ID: I20040603000552 |
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