Individual
DANIELLE MARIE FELDPAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4660 S HAGADORN RD STE 210, EAST LANSING, MI 48823-5353
(517) 353-3102
(517) 353-3101
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 353-3102
(517) 353-3101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164965844
—
MI
Enumeration date
11/29/2016
Last updated
10/22/2024
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