Individual
MR. JOSEF KOTERMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
27963 HAMBELTONIAN DR, CHESTERFIELD, MI 48047-4896
(586) 716-9338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704281782
MI
Other
Enumeration date
08/24/2016
Last updated
03/15/2021
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