Individual
KELLY F ESPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9043 GLENWOOD LN, NORTHVILLE, MI 48168-9129
(248) 756-0795
Mailing address
9043 GLENWOOD LN, NORTHVILLE, MI 48168-9129
(248) 756-0795
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002048
MI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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