Individual
RAYMOND J KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10 TOWER DR, DEAN MEDICAL CENTER, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794
Mailing address
10 TOWER DR, DEAN MEDICAL CENTER, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3794
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1850-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39752600
—
WI
01
—
4729
DEAN HEALTH INSURANCE
WI
Enumeration date
06/23/2006
Last updated
03/08/2010
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