Individual
AIMEE SUSAN KANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28595 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48334-2979
(248) 553-0010
(248) 553-5957
Mailing address
28595 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48334-2979
(248) 553-0010
(248) 553-5957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11944909
CAQH
MI
Enumeration date
10/10/2008
Last updated
09/12/2023
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