Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK D KOSMACH, PA-C
ActiveMR. FREDERICK D KOSMACH, PA-C is a Physician Assistant healthcare provider located in MINONG, Wisconsin. NPI 1760487722 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MINONG, WI
Registration Details
- NPI Number
- 1760487722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.141236265485 yrs)
- Last Updated
- May 8, 2014
- License
-
897 (WI)
Practice Information
- Address
-
600 W SHELL CREEK RDMINONG, WI, 548599302Browse WI providers · Browse ZIP 54859
- Phone
- 7154662201
- Fax
- 7154662205
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.