MRS. Laura Susanne Kovacik, PHYSICIAN ASSISTANT

NPI #1922536820 in Maumee, Ohio

Provider Information

NPI Number: 1922536820
Entity Type: Individual
Name: MRS. Laura Susanne Kovacik, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: May 23, 2017
Last Updated: May 23, 2017

Practice Location

Address: 6005 MONCLOVA RD
City: Maumee
State: Ohio
ZIP Code: 43537-1864
Phone: (419) 893-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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