Individual
ANN KOSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2255
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 353-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
AK011095
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300E310060
BLUE CROSS
MI
05
—
4250478
—
MI
Enumeration date
06/25/2006
Last updated
08/30/2016
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