Individual
REBECCA ANN KOTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
31778 FORREST, FRASER, MI 48026-2623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289676
MI
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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