Individual
KATIE FOCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 253-2023
Mailing address
1129 COBBLESTONE CT, WILLIAMSTON, MI 48895-8726
(616) 893-8995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004558
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004558
STATE LICENSE NUMBER
MI
Enumeration date
08/05/2006
Last updated
12/07/2023
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