Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301089668 | MI |
N | 207KA0200X | Allergist | 230037 | MA |
N | 207R00000X | Internist | 230037 | MA |
N | 111NI0900X | Internist | 230037 | MA |
N | 207R00000X | Internist | 4301089668 | MI |
N | 111NI0900X | Internist | 4301089668 | MI |
NPI | 1477587137 |
---|---|
Provider Name | Anna Kovalszki |
First Address | Ann Arbor, MI 48108 |
Second Address | Ypsilanti, MI 48197-1020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 30/11/2016 |