Individual
MARCUS E KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21603 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 280-2100
(586) 210-8808
Mailing address
21603 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 280-2100
(833) 496-1920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074604
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135327
PREFERRED CHOICES
MI
01
—
CB2510
RAILROAD MEDICARE
MI
01
—
OH24993
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/19/2006
Last updated
04/14/2022
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