Individual
KIT TROMBLY MANTEUFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001720
MI
Other
Enumeration date
03/21/2006
Last updated
12/23/2020
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