Individual
DR. FREDERICK AUGUSTUS KOSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1633
(269) 473-2222
(269) 473-6880
Mailing address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(269) 473-2222
(269) 473-6880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902086689
GROUP NPI
MI
01
—
680A112130
BLUE CROSS GROUP PIN
MI
Enumeration date
11/16/2006
Last updated
10/28/2008
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