Individual
MS. LAURA E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C, CCDS
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2417
Mailing address
2799 W GRAND BLVD, K14 CARDIOLOGY DEPT, DETROIT, MI 48202-2689
(135) 878-7603
(313) 916-8416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
01/28/2021
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