Laura Kaska PA-C

NPI 1780096396 - Physician Assistant - 363A00000X

NPI Details
NPI 1780096396
Gender Female
Enumeration Date 05/30/2014
Last Updated 05/30/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
16001 W 9 MILE RD
SOUTHFIELD MI, 48075-4818, US
Phone (248) 849-3917
Fax (248) 849-2025
Business Location
16001 W 9 MILE RD
SOUTHFIELD MI, 48075-4818, US
Phone (248) 849-3917
Fax (248) 849-2025
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601007025
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According to our database, Laura Kaska PA-C NPI is 1780096396, taxonomy code is 363A00000X and license number is 5601007025, license state is located at Michigan. Laura Kaska PA-C physically located at 16001 W 9 Mile Rd, Southfield MI, 48075-4818. NPI Number Laura Kaska PA-C has the Individual type.

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1780096396 NPI number is provided on an as is basis without warranty of any kind. 1780096396 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Kaska PA-C are for informational purposes only.