Search › Michigan › 311ZA0620X
Beverly Koonce
NPI 1437303104 · on the registry since 2008 · sole proprietor
Practice
- Address
- 16520 Whitcomb St
Detroit, MI 48235 - Phone
- (313) 835-6557
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Also registered as
- 311Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan