Individual
DR. MICHELLE C KOSOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 301, GRAND RAPIDS, MI 49503-4693
(616) 685-7850
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(616) 685-7850
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301098636
MI
Other
Enumeration date
06/28/2011
Last updated
12/17/2021
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