Individual
DOUGLAS KOZELUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-4933
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
4704287451
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704287451
MI
Other
Enumeration date
04/20/2019
Last updated
06/10/2019
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