Individual
MRS. KATHERINA LUBA SAWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
21701 WEST 11 MILE ROAD, SUITE #4, SOUTHFIELD, MI 48076
(248) 355-1100
Mailing address
21701 W 11 MILE RD STE 4, SOUTHFIELD, MI 48076-3713
(248) 207-1297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704235399
MI
363L00000X
Nurse Practitioner
Primary
4704235399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578834917
—
MI
Enumeration date
01/17/2012
Last updated
10/18/2017
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