| Doctor Name: | DR. STEVEN MATHER KOTSONIS |
| NPI Number: | 1306017991 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 53437-20 |
| Business Practice Address: | 11111 W Oklahoma Ave West Allis, WI - 532274033 |
| Business Phone Number: | 4145468000 |
| Business Fax Number: | 4145462909 |
| Mailing Address: | Po Box 89, BUTLER |
| State: | WI |
| Postal Code: | 530070089 |
| Phone Number: | 2623736733 |
| Fax Number: | 2623736018 |
| NPI Enumeration Date: | 03/21/2008 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 53437-20 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |