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Organization

JAMES R. KOSIUR, D.O., P.C.

Active
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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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