Individual
RICHARD P KOSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6321 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-9208
(231) 946-5547
Mailing address
6321 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-9208
(231) 946-5547
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
049951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110016683
RR MEDICARE
MI
05
—
2907430
—
MI
01
—
8710958
CIGNA
MI
01
—
RK049951
BLUE CROSS LICENSE STATE
MI
Enumeration date
03/08/2006
Last updated
12/24/2019
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