Individual
MS. GINA CARMEN VALITUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 JOHN R ST, KARMANOS CANCER CTR MIDLEVELS, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8381
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5731
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004333
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437367067
—
MI
Enumeration date
05/18/2007
Last updated
03/18/2015
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