Dr. Joseph S Kostrzewski SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

17121 Issued in WI

Legal business name

DR. JOSEPH S KOSTRZEWSKI SC

Practice address

1717 W Greenfield Ave
Milwaukee, WI 53204-2658

Phone

(414) 671-1717

Fax

(414) 671-5190

NPI assigned

Jun 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph S Kostrzewski, DO

Title

Physician

Phone

(414) 617-1717

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1386803757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042658",
            "telephone_number": "414-671-1717",
            "fax_number": "414-671-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042658",
            "telephone_number": "414-671-1717",
            "fax_number": "414-671-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSEPH S KOSTRZEWSKI SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KOSTRZEWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "414-617-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "17121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.