Individual
KELLY ANNE DOOLEY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
Mailing address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006918
MI
Other
Enumeration date
03/12/2014
Last updated
07/24/2015
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