Individual
MRS. KELLEY ANN MARKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(734) 246-6000
Mailing address
24691 CHRISTIAN DR, BROWNSTOWN, MI 48134-9115
(734) 782-2133
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704184417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4832463
—
MI
Enumeration date
02/02/2007
Last updated
03/06/2021
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