Individual
DEBRA LINDA-JACKMAN KALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD # 3, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Mailing address
16001 W 9 MILE RD # 3, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007311
MI
Other
Enumeration date
03/16/2015
Last updated
03/03/2021
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