Healthcare Provider Details

I. General information

NPI: 1699663831
Provider Name (Legal Business Name): COGNOSIS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 ALI DR DEPT 340
GRAND BLANC MI
48439-5193
US

IV. Provider business mailing address

5445 ALI DR DEPT 340
GRAND BLANC MI
48439-5193
US

V. Phone/Fax

Practice location:
  • Phone: 551-444-0924
  • Fax:
Mailing address:
  • Phone: 551-444-0924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ZBOROWSKI
Title or Position: COO
Credential:
Phone: 862-377-3713