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Maria N Kossak, DO
Obstetrics Physician in Dearborn, Michigan
NPI 1821292723

Maria N Kossak is a Obstetrics Physician based in Dearborn, MI and is specialized in Obstetrics. Maria N Kossak practices in Dearborn, MI and has the professional credentials of DO. The NPI Number for Maria N Kossak is 1821292723 and holds a License No. 5101010416 (Michigan).

The current practice location address for Maria N Kossak is 22074 Michigan Ave, Dearborn, MI and can be reached out via phone at 313-565-9510 and via fax at 313-565-4410.

Location: 22074 Michigan Ave, Dearborn, MI, 48124-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821292723
Provider Name
Maria N Kossak
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
22074 Michigan Ave, Dearborn, MI, 48124-2223
Phone Number
313-565-9510
Fax Number
313-565-4410
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4318019 05 MI
institution
Provider Business Practice Location Address Details
Address
22074 Michigan Ave
City
Dearborn
State
Michigan
Zip
48124-2353
Phone Number
313-565-9510
Fax Number
313-565-4410
person
Provider Business Mailing Address Details
Address
22074 Michigan Ave
City
Dearborn
State
Michigan
Zip
48124-2353
Phone Number
313-565-9510
Fax Number
313-565-4410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
5101010416 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
5101010416 (Michigan)
Definition
Definition to come...
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