Individual provider · Type 1 NPI

Elizabeth Ashley Kozak, PA-C

Medical Physician Assistant · Plymouth, MI

NPI number 1194004523 Active

Practice location

15474 N Haggerty Rd
Plymouth, MI 48170-4893

Fax (630) 734-4715

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.004076 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1194004523

Elizabeth Ashley Kozak, PA-C's National Provider Identifier is 1194004523, issued on Aug 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plymouth, MI. The record was last updated on Jun 22, 2015.