Individual
VANESSA LYNNE-KOSCHTIAL HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(586) 991-0801
(586) 991-0804
Mailing address
245 BARCLAY CIR, SUITE 400, ROCHESTER HILLS, MI 48307-5815
(586) 991-0801
(586) 991-0804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501006539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650E014930
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
06/23/2006
Last updated
01/05/2016
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