Individual
MISS GEORGETTE MARIE KOSMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
18303 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-4989
(586) 776-8877
Mailing address
18303 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-4989
(586) 776-8877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269572
MI
Other
Enumeration date
06/12/2019
Last updated
01/30/2025
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