MR. Kendel Kosanovich

NPI #1023433273 in Toledo, Ohio

Provider Information

NPI Number: 1023433273
Entity Type: Individual
Name: MR. Kendel Kosanovich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 25, 2014
Last Updated: Feb 25, 2014

Practice Location

Address: 3505 W LINCOLNSHIRE BLVD
City: Toledo
State: Ohio
ZIP Code: 43606-1233
Phone: (419) 245-4150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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