Individual
ADAM MATTHEW KOZEMCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 VINE ST, WINSTON SALEM, NC 27101-4135
(724) 831-7071
Mailing address
475 VINE ST, WINSTON SALEM, NC 27101-4135
(336) 716-4498
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
07/10/2024
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