Individual
IRENE KIMOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1915 N PERRY ST, PONTIAC, MI 48340-2237
(248) 276-3999
Mailing address
30800 TELEGRAPH RD, SUITE 3900, BINGHAM FARMS, MI 48025-4542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048232
MI
Other
Enumeration date
06/14/2006
Last updated
08/15/2007
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