Individual
DR. MICHAEL EDWARD KOZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-7911
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D94177
MD
207RC0000X
Cardiovascular Disease Physician
Primary
LL92685
SC
208M00000X
Hospitalist Physician
D94177
MD
Other
Enumeration date
05/20/2019
Last updated
07/03/2024
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