Individual
KATHRYN CHARLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6200 N HAGGERTY RD, CANTON, MI 48187-3605
(734) 526-8860
Mailing address
2590 SIGNATURE CIR, PINCKNEY, MI 48169-8163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010573
MI
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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