Provider Demographics
NPI:1033598248
Name:KOZUSKO, STEVEN D (MD, MED)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:KOZUSKO
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Gender:M
Credentials:MD, MED
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Mailing Address - Street 1:43 WHITING HILL RD STE 330
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1005
Mailing Address - Country:US
Mailing Address - Phone:207-973-5035
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:417 STATE ST STE 330
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6638
Practice Address - Country:US
Practice Address - Phone:207-973-8881
Practice Address - Fax:207-973-8880
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2024-08-13
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Provider Licenses
StateLicense IDTaxonomies
MEMD281222082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand