Individual
MARY ANN KOSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 JOHN R, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8699
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1138
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301057608
MI
Other
Enumeration date
05/31/2006
Last updated
08/03/2016
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