| Doctor Name: | MR. GERALD F KOZUH |
| NPI Number: | 1700835295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036049229 |
| Business Practice Address: | 3900 Hollywood Rd. St. Joseph, MI - 49085 |
| Business Phone Number: | 2694284422 |
| Business Fax Number: | 2694284411 |
| Mailing Address: | 6416 Deans Hill Rd, BERRIEN SPRINGS |
| State: | MI |
| Postal Code: | 491029750 |
| Phone Number: | 2694717741 |
| Fax Number: | 2694711581 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 11/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 036049229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |