Individual
CAROLE VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-7351
(313) 745-2376
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-7351
(313) 745-2376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002838
MI
Other
Enumeration date
01/23/2006
Last updated
01/08/2009
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