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Individual

ELIZABETH ANN KOZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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
EK062494
MI

Other

Enumeration date
11/02/2006
Last updated
03/18/2026
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