Mike Kozminski is a Specialist in Grandville, Michigan. Mike Kozminski practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mike Kozminski is 1093816316. The last update date is 2023-03-15.
Mike Kozminski's current location address is 5603 Stonebridge Dr Se, Grandville, Michigan. You can contact this provider via phone number 8162482373. The mailing address for Mike Kozminski is 5603 Stonebridge Dr Se, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike Kozminski |
|---|---|
| Address | 5603 Stonebridge Dr Se, Grandville, Michigan |
| Phone Number | 8162482373 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093816316 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 5603 Stonebridge Dr Se |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 49418 |
| Phone Number | 8162482373 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R4J56 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Mike Kozminski by the Centers for Medicare & Medicaid Services?
The Mike Kozminski has been issued the NPI (National Provider Identifier) 1093816316. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mike Kozminski?
The Mike Kozminski is physically situated at 5603 Stonebridge Dr Se, in the city of Grandville, state of MI, with the postal code 49418.
What is the Mike Kozminski's area of specialization and corresponding taxonomy classification?
The Mike Kozminski's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093816316 to Mike Kozminski?
The Centers for Medicare & Medicaid Services originally issued the 1093816316 to Mike Kozminski on 2006-09-26.
When was the Mike Kozminski's information last updated?
The Mike Kozminski's information was last updated on 2023-03-15.