Individual
KATHERINE ELIZABETH WASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16510 19 MILE RD, CLINTON TWP, MI 48038-1106
(586) 263-7200
Mailing address
750 STEPHENSON HWY, TROY, MI 48083-1103
(248) 577-4995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007131
MI
Other
Enumeration date
09/08/2014
Last updated
07/28/2021
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