Individual
MR. MICHAEL GENE KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(952) 442-9770
(952) 442-3620
Mailing address
2462 JOHN R RD, #202, TROY, MI 48083-2587
(248) 343-5260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704230494
MI
Other
Enumeration date
11/05/2007
Last updated
01/16/2008
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