Organization
MICHIGAN CENTER IVF, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE LYNN KOWALCZYK M.D. (MEDICAL DIRECTOR)
(586) 576-0431
Entity
Organization
Contact information
Practice address
4700 E 13 MILE RD, WARREN, MI 48092-4438
(586) 576-0431
(586) 576-0924
Mailing address
4700 E 13 MILE RD, WARREN, MI 48092-4438
(586) 576-0431
(586) 576-0924
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
4301054864
MI
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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