Provider Demographics
NPI:1891845657
Name:KOSLOSKI, SYLVIA ANN (CPM, LM)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANN
Last Name:KOSLOSKI
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13002 90TH ST
Mailing Address - Street 2:
Mailing Address - City:MILACA
Mailing Address - State:MN
Mailing Address - Zip Code:56353-4406
Mailing Address - Country:US
Mailing Address - Phone:763-286-5941
Mailing Address - Fax:320-369-4123
Practice Address - Street 1:13002 90TH ST
Practice Address - Street 2:
Practice Address - City:MILACA
Practice Address - State:MN
Practice Address - Zip Code:56353-4406
Practice Address - Country:US
Practice Address - Phone:763-286-5941
Practice Address - Fax:320-369-4123
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1002176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife