Individual
COLLEEN PINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14460 LAKESIDE CIRCLE, 100, STERLING HEIGHTS, MI 48313
(586) 685-3285
Mailing address
14460 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1348
(586) 685-3285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CM005015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM005015
STATE LICENCE NUMBER
MI
Enumeration date
03/24/2008
Last updated
03/29/2016
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