Individual
ANNA C THEECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1498 S SHELDON RD, PLYMOUTH, MI 48170-2140
(734) 927-5335
Mailing address
3000 ARLINGTON AVE # MS 1027, TOLEDO, OH 43614-2595
(419) 530-5408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012345
MI
Other
Enumeration date
12/15/2022
Last updated
03/15/2024
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