Individual
DR. MIKE KOZMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E MAIN ST, HART, MI 49420-1190
(231) 873-6900
(231) 873-1825
Mailing address
5603 STONEBRIDGE DR SE, GRANDVILLE, MI 49418
(816) 248-2373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R4J56
MO
208800000X
Urology Physician
Primary
4301049435
MI
Other
Enumeration date
09/26/2006
Last updated
03/15/2023
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