Individual
LAURA KATSCHANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26222 TELEGRAPH RD, SUITE 300, SOUTHFIELD, MI 48033-5318
(586) 000-0000
Mailing address
26222 TELEGRAPH RD, SUITE 300, SOUTHFIELD, MI 48033-5318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
09/28/2016
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