MARIA KOSTRITSYNA

SOUTH LYON, MI
NPI1649683590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301105440)
Enumeration Date2014-06-09
Last Update Date2014-06-09
Business Address
-- MARIA KOSTRITSYNA
210 N LAFAYETTE ST PROVIDENCE MEDICAL CENTER
SOUTH LYON, MI 48178-2048
Phone number: 248-849-3441
Mailing Address
-- MARIA KOSTRITSYNA
210 N LAFAYETTE ST PROVIDENCE MEDICAL CENTER
SOUTH LYON, MI 48178-2048
Phone number: 248-849-3441
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