Most Relevant Information
Provider Data
NPI Number: | 1003459082 |
Provider Name: | MEGAN KOVALCIK |
Entity Type: | Individual |
Taxonomy Code: | 208100000X |
Specialty: | Physical Medicine & Rehabilitation |
License Number: | 5502006051 |
Most Important Dates
Enumeration Date: | 10/23/2019 |
Last Updated: | 10/23/2019 |
Provider Practice Location
50475 GRATIOT AVE STE B
CHESTERFIELD
MI
480513128
Practice Location Phone/Fax
Phone: | 5865980050 |
Fax: | 5865981804 |
Provider Mailing Location
50475 GRATIOT AVE STE B
CHESTERFIELD
MI
480513128
Provider Mailing Phone/Fax
Phone: | 5865980050 |
Fax: | 5865981804 |