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Individual

SUSAN KAY KOWALSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
23050 WEST RD STE 110, BROWNSTOWN TWP, MI 48183-1470
(734) 671-9800
Mailing address
23050 WEST RD STE 110, BROWNSTOWN TWP, MI 48183-1470
(734) 671-9800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4704125099
MI

Other

Enumeration date
07/12/2013
Last updated
07/12/2013
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