Organization
INTERNAL MEDICINE OF WEST MICHIGAN PLLC
Active
Other names
Dr's Marvin, Gans and Roslaniec
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A KOZAK M.D. (PARTNER)
(616) 285-9090
Entity
Organization
Contact information
Practice address
3200 EAGLE PARK DR NE, SUITE 102, GRAND RAPIDS, MI 49525-7057
(616) 285-9090
(616) 285-7947
Mailing address
3200 EAGLE PARK DR NE, SUITE 102, GRAND RAPIDS, MI 49525-7057
(616) 285-9090
(616) 285-7947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G02811
BLUE CROSS GROUP NUMBER
MI
Enumeration date
01/16/2007
Last updated
10/25/2024
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