Individual
DR. MICHAEL KOZNARSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 REID ST ATTN MCHJ-QCR, TACOMA, WA 98431-1100
(253) 968-2252
Mailing address
65 JACKSON ST, STEILACOOM, WA 98388-1721
(253) 983-0473
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01058557A
IN
Other
Enumeration date
08/15/2006
Last updated
05/16/2013
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