Individual
JOHN JOSEPH KOZLOWSKI IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
15044 220TH AVE, BIG RAPIDS, MI 49307-9248
(231) 527-7150
(231) 796-4109
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704355710
MI
Other
Enumeration date
01/05/2024
Last updated
02/05/2025
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