Individual
KELLIE A LASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Mailing address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003618
MI
Other
Enumeration date
10/31/2005
Last updated
02/07/2013
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