Individual
KRYSTIAN K KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 735-4200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68055
WI
208M00000X
Hospitalist Physician
Primary
N68055-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075430
—
WI
Enumeration date
07/07/2015
Last updated
03/05/2024
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