SearchMichigan363LF0000X

Jennifer Kozak, NPC

NPI 1801866124 · on the registry since 2006

Practice

Address
28963 Little Mack
Ste 101
St Clair Shores, MI 48081
Phone
(586) 447-0700
Fax
(586) 498-0707
Clinicians at this address
2

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan