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Individual

PAUL M KOZLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00038877
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039595
LABOR & INDUSTRY
WA
01
340018463
RAILROAD MEDICARE
01
7561KO
BLUE SHIELD
WA
05
8263089
WA
01
MD1032W
ALASKA MEDICAID
WA
01
US2337539
AETNA/USHC SPECIALIST
WA
Enumeration date
09/01/2006
Last updated
09/23/2010
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