Individual
PAUL KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 477-6103
(812) 469-3285
Mailing address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 477-6103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02008000A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/22/2019
Last updated
09/18/2025
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