Organization
JAMES R. KOSIUR, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R KOSIUR D.O. (ORTHOPEDIC SURGEON)
(616) 281-2773
Entity
Organization
Contact information
Practice address
2591 44TH ST SE, GRAND RAPIDS, MI 49512-9094
(616) 281-2773
(616) 281-2836
Mailing address
2591 44TH ST SE, GRAND RAPIDS, MI 49512-9094
(616) 281-2773
(616) 281-2836
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101011746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054101570
BCBS
MI
05
—
3417943
—
MI
Enumeration date
07/16/2007
Last updated
07/16/2007
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