EDWARD STEPHEN KORNACKI

DETROIT, MI
NPI1528560620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501008916)
Enumeration Date2018-03-05
Last Update Date2021-03-29
Business Address
EDWARD STEPHEN KORNACKI
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1128
Mailing Address
EDWARD STEPHEN KORNACKI
20470 MAPLEWOOD ST
RIVERVIEW, MI 48193-7928
Phone number:
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