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NPI 1568466928 · live from the CMS NPI Registry

Deborah Costakos, M.D.

Ophthalmology in Milwaukee, WI. National Provider Identifier 1568466928, active.

NPI record

NPI1568466928 Type 1 · individual
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226
Practice phone414-607-5280
EnumeratedJune 13, 2005
Last updatedMarch 11, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology primary207W00000X41333-020 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.