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Contact Information

LAURA L KOVALCIK, DO
5639 SASHABAW RD
CLARKSTON, MI48346
 Phone: 248-625-6677
 Fax: 248-625-5633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for LAURA L KOVALCIK · (Female)

NPI # 1760591572
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/29/2006
Last updated 05/31/2026 - Less than a week ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101013001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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