MAKSIM KOZAK

FARIBAULT, MN
NPI1851858674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12822)
Enumeration Date2019-02-28
Last Update Date2021-03-11
Business Address
MAKSIM KOZAK PA
35 STATE AVE STE 1
FARIBAULT, MN 55021
Phone number: 507-497-3528
Mailing Address
MAKSIM KOZAK PA
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000