Individual
JAMES W KOZELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6913 N MAIN ST STE 100, GRANGER, IN 46530-8039
(574) 647-8542
(574) 647-8549
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01038371A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01038371A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317840
—
IN
Enumeration date
06/28/2006
Last updated
03/11/2025
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