Individual
KELLY MARIE POLETIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038
(586) 263-2113
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007695
MI
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
085004402
IL
Other
Enumeration date
08/29/2012
Last updated
09/04/2018
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