Organization
KOZLOW EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B KOZLOW MD (AUTHORIZED OFFICIAL)
(313) 626-0909
Entity
Organization
Contact information
Practice address
23874 KEAN ST, #130, DEARBORN, MI 48124-1804
(313) 626-0909
(313) 551-5688
Mailing address
23874 KEAN STREET, #130, DEARBORN, MI 48124-1804
(313) 626-0909
(313) 551-5688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054436
MI
Other
Enumeration date
10/07/2015
Last updated
01/31/2017
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