Individual
CARRIE ANN ASSENMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1820 SHAFFER STREET, KALAMAZOO, MI 49048-1604
(269) 381-7136
(269) 381-6665
Mailing address
1820 SHAFFER STREET, KALAMAZOO, MI 49048-1604
(269) 381-7136
(269) 381-6665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C915330
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/21/2009
Last updated
09/09/2009
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