Individual
DR. BETTY KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 LESTER AVE, SAINT JOSEPH, MI 49085-2561
(269) 985-0029
(269) 985-0040
Mailing address
3380 LINCOLN AVE, SAINT JOSEPH, MI 49085-3703
(269) 985-0029
(269) 985-0040
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301032733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-0111404-1
BCBS
MI
01
—
36-30032
PHYSICIANS HEALTH PLAN
MI
05
—
4647527
—
MI
Enumeration date
06/23/2005
Last updated
07/25/2007
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