Individual
LAURA L KOVALCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5639 SASHABAW RD, CLARKSTON, MI 48346
(248) 625-6677
(248) 625-5633
Mailing address
5639 SASHABAW RD, CLARKSTON, MI 48346
(248) 625-6677
(248) 625-5633
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101013001
MI
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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