Individual
JOANNA KUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 763-6295
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301512184
MI
Other
Enumeration date
04/11/2020
Last updated
08/19/2024
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