Doctor Name: | MOLLY CZOYKOWSKI |
NPI Number: | 1124422779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 4704257385 |
Business Practice Address: | 1342 Grayton St Grosse Pointe Park, MI - 482301128 |
Business Phone Number: | 5864193002 |
Business Fax Number: | |
Mailing Address: | 1342 Grayton St, GROSSE POINTE PARK |
State: | MI |
Postal Code: | 482301128 |
Phone Number: | 5864193002 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704257385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |