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

Maksim Kozak, PA

Individual provider Physician Assistant · NPI 1851858674

Maksim Kozak, PA is a Physician Assistant in Faribault, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

35 State Ave Ste 1
Faribault, MN 55021
Phone: (507) 497-3528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 State Ave, Faribault, MN 55021-6339 — (507) 334-6451
  • 200 State Ave, Faribault, MN 55021-6339 — (507) 334-6451

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12822 (MN)

Record details

NPI number1851858674
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

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