Individual
JAMIE KOZDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
684 N PORT CRESCENT ST, BAD AXE, MI 48413-1275
(989) 912-6575
(989) 912-6013
Mailing address
684 N PORT CRESCENT ST, BAD AXE, MI 48413-1275
(989) 912-6575
(989) 912-6013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301509389
MI
207Q00000X
Family Medicine Physician
4351046111
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046111
MI
Other
Enumeration date
06/11/2020
Last updated
04/29/2025
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