Individual
STEPHEN KOCZWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
(614) 717-0822
Mailing address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.401107
OH
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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