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Contact Information

KRYSTIAN K KOZAK, MD
3003 UNIVERSITY DR
MARINETTE, WI54143
 Phone: 715-735-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KRYSTIAN K KOZAK · (Male)

NPI # 1336522531
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2015
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 68055
  • WI License # N68055-20
  • WI Medicaid 100075430
Hospital affiliation(s)
  • BAY AREA MED CTR - (Acute Care)
    3100 SHORE DRIVE
    MARINETTE, WI 54143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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