SearchMichigan103TC2200X

Maria Kaniszewski

NPI 1740599216 · on the registry since 2010 · sole proprietor

Practice

Address
2715 S Townline Rd
Houghton Lake, MI 48629
Phone
(989) 366-1118
Fax
(989) 366-9420
Clinicians at this address
29

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Also registered as
101Y00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-01

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