Individual
MOLLY ELIZABETH KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 W. HARRISON ST, STE #400 MIDWEST ORTHOPAEDICS AT RUSH, LLC, CHICAGO, IL 60612
(312) 243-4244
(312) 942-1517
Mailing address
4480 CENTERVILLE RD, WHITE BEAR LAKE, MN 55127-3674
(651) 484-2724
(651) 484-2723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1090341
MN
363AS0400X
Surgical Physician Assistant
085003614
IL
Other
Enumeration date
10/06/2009
Last updated
01/12/2021
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