Individual
RICHARD KAHNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4069 LAKE DR SE STE 313, GRAND RAPIDS, MI 49546-8816
(616) 774-9333
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301043361
MI
Other
Enumeration date
06/07/2006
Last updated
10/01/2018
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