Individual
DR. DANIEL B KOZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23874 KEAN ST # 130, DEARBORN, MI 48124
(313) 626-0909
(135) 515-6883
Mailing address
23874 KEAN ST, STE 130, DEARBORN, MI 48124-1851
(313) 626-0909
(313) 551-5688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5307000624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4243947
—
MI
Enumeration date
01/27/2006
Last updated
01/13/2020
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