Individual
KRISTINE A CONONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004397
MI
Other
Enumeration date
07/03/2006
Last updated
02/15/2013
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