Individual
DR. TERESA ELLEN KOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907 E TINKHAM AVE, LUDINGTON, MI 49431-1537
(231) 843-3477
(231) 843-9042
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301099708
MI
2080P0203X
Pediatric Critical Care Medicine Physician
52893
WI
Other
Enumeration date
04/16/2007
Last updated
02/25/2021
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