Individual
ALICIA M KWASNESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-1994
(248) 898-0015
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704306797
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704306797
MD
Other
Enumeration date
07/24/2018
Last updated
04/03/2024
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