Individual
MICHELLE ANNE KOVALASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7630 RIVERS EDGE DR, COLUMBUS, OH 43235-1329
(614) 533-4000
(614) 540-3979
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.090908
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35090908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082640
—
OH
Enumeration date
01/27/2008
Last updated
01/05/2022
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