Individual
CAELIN YI-TING KOPICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29120 GLENARDEN ST, FARMINGTON HILLS, MI 48334-2732
(248) 727-3011
Mailing address
29120 GLENARDEN ST, FARMINGTON HILLS, MI 48334-2732
(248) 727-3011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
05/30/2018
Last updated
06/20/2023
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