Individual
JENNIFER L KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
28963 LITTLE MACK, STE 101, ST CLAIR SHORES, MI 48081
(586) 447-0700
(586) 498-0707
Mailing address
28963 LITTLE MACK, STE 101, ST CLAIR SHORES, MI 48081
(586) 447-0700
(586) 498-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704191405
MI
Other
Enumeration date
01/26/2006
Last updated
08/06/2008
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