Individual
TERENIA A. CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14460 LAKESIDE CIR STE 100, STERLING HEIGHTS, MI 48313-1345
(586) 685-3285
(586) 685-3286
Mailing address
14460 LAKESIDE CIR STE 100, STERLING HEIGHTS, MI 48313-1345
(586) 685-3285
(586) 685-3286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005174
MI
363AM0700X
Medical Physician Assistant
Primary
5601005174
MI
Other
Enumeration date
01/12/2008
Last updated
01/17/2019
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