Most Relevant Information
Provider Data
NPI Number: | 1003527318 |
Provider Name: | KIMBERLY MALISZEWSKI |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 12/07/2022 |
Last Updated: | 12/07/2022 |
Provider Practice Location
19750 BURT RD
DETROIT
MI
482192078
Practice Location Phone/Fax
Phone: | 3132550900 |
Fax: |
Provider Mailing Location
32749 HEES ST
LIVONIA
MI
481503775
Provider Mailing Phone/Fax
Phone: | |
Fax: |