Kokoska, Mimi S

Kokoska, Mimi S is an individual health care provider with primary practice located at 4600 W Loomis Rd Suite 201, Greenfield WI 53220-4858. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Kokoska, Mimi S can be contacted via phone (414) 281-4466.

Contact Information

Primary practice address
4600 W Loomis Rd Suite 201 Greenfield WI 53220-4858
Phone: (414) 281-4466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X E-3850 Arkansas
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X E-3850 Arkansas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01054222A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 64145 Wisconsin

Profile Details

NPI number 1770674897
LBN Legal business name Kokoska, Mimi S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770674897 NPPES
Arkansas Other 03120016300 QUALCHOICE
Arkansas Other P00082526 QUALCHOICE
Arkansas Other E3850 QUALCHOICE
Arkansas MEDICAID 150875001 QUALCHOICE

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