Provider Demographics
NPI:1912207374
Name:BOZIK, MICHAEL EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:BOZIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 WHARTON ST
Mailing Address - Street 2:615
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1972
Mailing Address - Country:US
Mailing Address - Phone:412-488-1776
Mailing Address - Fax:412-488-8487
Practice Address - Street 1:2100 WHARTON ST
Practice Address - Street 2:615
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1972
Practice Address - Country:US
Practice Address - Phone:412-488-1776
Practice Address - Fax:412-488-8487
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044912E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology