Individual
CHANNAN MARIE KOSITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP-C
Contact information
Practice address
3025 GULL RD, KALAMAZOO, MI 49048-1281
(269) 226-8321
Mailing address
3025 GULL RD, KALAMAZOO, MI 49048-1281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275340
MI
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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