Individual
DR. KELSEY KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
64641 VAN DYKE RD, WASHINGTON, MI 48095-2584
(586) 752-4477
Mailing address
23620 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005544
MI
Other
Enumeration date
05/19/2021
Last updated
12/29/2022
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