Individual
MS. STACEY ANNE KOWALESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 S EUCLID AVE, BAY CITY, MI 48706-3309
(989) 439-1235
(989) 439-1238
Mailing address
1111 S EUCLID AVE, BAY CITY, MI 48706-3309
(989) 439-1235
(989) 439-1238
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
39
MI
Other
Enumeration date
05/29/2015
Last updated
09/14/2020
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