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NPI Code Detail

MEDICARE: DANIEL R COZADD DO

MEDICARE: DANIEL R COZADD DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0102XSurgical Critical Care Physician02005282AIN

General Provider Information

NPI Number : 1649482902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL R COZADD DO
Provider Business Mailing Address
First Line : 1501 LAKE SUPERIOR RD APT 105
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-6736
Country : US
Telephone Number : 248-459-0263
Fax Number :
Provider Business Practice Location Address
First Line : 1501 LAKE SUPERIOR RD APT 105
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-6736
Country : US
Telephone Number : 248-459-0263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 09/19/2022

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Directions to “ DANIEL R COZADD DO” Practice Location

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