Individual
NICOLE LEEANNE SATKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
PO BOX 196, OTISVILLE, MI 48463-0196
(810) 210-0995
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601001035
MI
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
07/29/2021
Last updated
08/26/2021
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