Organization
COMPLETE PHYSICIANS CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMER J KOZORA M.D. (PHYSICIAN)
(734) 709-3319
Entity
Organization
Contact information
Practice address
8635 NOTTINGHAM CT, YPSILANTI, MI 48198-3222
(734) 709-3319
(734) 212-1541
Mailing address
8635 NOTTINGHAM CT, YPSILANTI, MI 48198-3222
(734) 709-3319
(734) 212-1541
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301023595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538139985
MEDICARE PROVIDER NUMBER OP23960
MI
Enumeration date
07/07/2011
Last updated
08/28/2011
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