Individual
KELSEY MARIE BOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
24400 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1340
(586) 778-1881
(586) 778-0667
Mailing address
24400 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1340
(586) 778-1881
(586) 778-0667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009939
MI
Other
Enumeration date
06/01/2020
Last updated
12/07/2021
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