Individual
VALERIE ANNE KMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4201 SAINT ANTOINE ST, 4F, DETROIT, MI 48201-2153
(313) 745-4380
Mailing address
231 VENDOME RD, GROSSE POINTE FARMS, MI 48236-3348
(313) 886-1948
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4704157115
MI
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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