Individual
HEATHER KOVALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
20557 NORTHVILLE PLACE DR APT 2113, NORTHVILLE, MI 48167-2941
(517) 667-6628
Mailing address
20557 NORTHVILLE PLACE DR APT 2113, NORTHVILLE, MI 48167-2941
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115470
MI
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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