Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Lee Kosaski

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629585997

Dylan Lee Kosaski is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

25 Michigan St NE
Grand Rapids, MI 49503-2515
Phone: (616) 264-8291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1629585997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESJanuary 8, 2018
Mailing address855 Capen St Ne Apt B, Grand Rapids, MI 49503-1852

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