Individual
MELISSA KOVALESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 CHESTNUT LN, SOUTH LYON, MI 48178-1896
(734) 585-6715
Mailing address
1029 CHESTNUT LN, SOUTH LYON, MI 48178-1896
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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