Individual
KRISTEN J FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32669 WARREN RD, GARDEN CITY, MI 48135-1677
(734) 762-0798
(734) 762-6682
Mailing address
42796 LILLEY POINTE DR, CANTON, MI 48187-5324
(260) 615-2970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00181800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487844239
—
MI
Enumeration date
07/27/2007
Last updated
11/20/2024
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