Organization
FAMSURG PLC
Active
Parent organization
FAMSURG PLC
Other names
Restorative Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMSURG PLC
Authorized official
DR. JOHN D KOZIARSKI M.D. (PRESIDENT)
(269) 979-6200
Entity
Organization
Contact information
Practice address
2855 CAPITAL AVE SW, BATTLE CREEK, MI 49015-6105
(269) 979-6200
(269) 979-6201
Mailing address
2855 CAPITAL AVE SW, BATTLE CREEK, MI 49015-6105
(269) 979-6200
(269) 979-6201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A310890
BCBS GROUP
MI
01
—
DA4938
RR MEDICARE GROUP
MI
Enumeration date
04/07/2006
Last updated
07/21/2022
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