Individual
MICHAL KOZANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Mailing address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2020-01441
NC
207X00000X
Orthopaedic Surgery Physician
72171
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
269712
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK6059554
ORTHOPEDICS
NC
Enumeration date
05/27/2011
Last updated
05/08/2020
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