Individual
DR. ALAN RUSSELL KOSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
974 73RD ST, SUITE 23, WINDSOR HEIGHTS, IA 50324-1024
(515) 284-1976
(515) 223-3010
Mailing address
974 73RD ST, SUITE 23, WINDSOR HEIGHTS, IA 50324-1024
(515) 284-1976
(515) 223-3010
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30390
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119164
—
IA
01
—
38296
BLUE CROSS & BLUE SHIELD
IA
Enumeration date
05/25/2006
Last updated
03/23/2010
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