Individual
KIMBERLY RORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30300 TELEGRAPH RD STE 310, BINGHAM FARMS, MI 48025-5822
(248) 468-1889
Mailing address
4447 BIG SKY TRL, INDIAN RIVER, MI 49749-9127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011370
MI
Other
Enumeration date
10/16/2021
Last updated
01/05/2024
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