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Individual

AIMEE FAIRLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
203 S GAINSBOROUGH AVE, ROYAL OAK, MI 48067-2955
(248) 217-9663
Mailing address
203 S GAINSBOROUGH AVE, ROYAL OAK, MI 48067-2955
(248) 217-9663

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5601008600
MI
363A00000X
Physician Assistant
Primary
5601008600
MI

Other

Enumeration date
04/13/2018
Last updated
04/22/2026
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