Individual
DR. KEVIN MATTHEW KWOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3297
Mailing address
10247 OTTER DR, SOUTH LYON, MI 48178-8868
(517) 404-0117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
302012
NY
207R00000X
Internal Medicine Physician
Primary
5101020646
MI
Other
Enumeration date
06/13/2013
Last updated
07/03/2023
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