Individual
JOHN KOZLIK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3990 E BROAD ST, BLDG 11, SECTION 11, COLUMBUS, OH 43213-1152
(614) 336-7376
Mailing address
3990 E BROAD ST, BLDG 11, SECTION 11, COLUMBUS, OH 43213-1152
(614) 336-7376
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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