Geanne Erard Geraghty PA

NPI 1073624656 - Physician Assistant - 363A00000X

NPI Details
NPI 1073624656
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/18/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
22301 FOSTER WINTER DR
FLOOR 1
SOUTHFIELD MI, 48075-3707, US
Phone (248) 849-3321
Fax
Business Location
3621 S STATE ST
700 KMS PLACE
ANN ARBOR MI, 48108-1633, US
Phone (734) 936-2047
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002889
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According to our database, Geanne Erard Geraghty PA NPI is 1073624656, taxonomy code is 363A00000X and license number is 5601002889, license state is located at Michigan. Geanne Erard Geraghty PA physically located at 22301 Foster Winter Dr, Southfield MI, 48075-3707. NPI Number Geanne Erard Geraghty PA has the Individual type.

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1073624656 NPI number is provided on an as is basis without warranty of any kind. 1073624656 is maintained by the National Plan & Provider Enumeration System. The contents of Geanne Erard Geraghty PA are for informational purposes only.