Individual
KATHLEEN HURST CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7709 BROCKWAY RD, BROCKWAY, MI 48097-3411
(810) 387-3055
(810) 387-3121
Mailing address
7709 BROCKWAY RD, P.O. BOX 153, BROCKWAY, MI 48097-3411
(810) 387-3055
(810) 387-3121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696166
—
MI
Enumeration date
08/21/2006
Last updated
01/12/2015
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