Individual
EILEEN KOSZTOWNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2961 WALMSLEY CIRCLE DR, LAKE ORION, MI 48360-1647
(248) 941-4217
Mailing address
4104 BOLD MDWS, OAKLAND TWP, MI 48306-1489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704279336
MI
Other
Enumeration date
09/01/2015
Last updated
10/25/2021
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