Individual
MATTHEW JOHN KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54459 MALIBU LN, NEW BALTIMORE, MI 48047-6418
(586) 201-2795
Mailing address
54459 MALIBU LN, NEW BALTIMORE, MI 48047-6418
(586) 201-2795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704363110
MI
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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