Individual
MR. JONATHAN AARON KOZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
(734) 397-2892
Mailing address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
(734) 397-2892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4704268760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704268760
STATE LICENSE
MI
Enumeration date
07/24/2018
Last updated
11/18/2024
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