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NPI Code Detail

MEDICARE: DONNA KOZAR MD

MEDICARE: DONNA KOZAR MD
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
1207Q00000XFamily Medicine Physician01041590IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881692184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA KOZAR MD
Provider Business Mailing Address
First Line : 1808 SHERMAN DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-9295
Fax Number : 812-385-9285
Provider Business Practice Location Address
First Line : 1808 SHERMAN DR
Second Line : SUITE 2209
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-9254
Fax Number : 812-385-9286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/29/2014

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Directions to “ DONNA KOZAR MD” Practice Location

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