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Michaelene Koczara

NPI 1801459862 · on the registry since 2019

Practice

Address
53183 Kakos Dr
Chesterfield, MI 48051
Phone
(586) 646-5440

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163WE0003X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan