Individual
ANNA C THEECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14700 FARMINGTON RD STE 105, LIVONIA, MI 48154-5434
(248) 330-7098
Mailing address
14700 FARMINGTON RD STE 105, LIVONIA, MI 48154-5434
(248) 330-7098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012345
MI
Other
Enumeration date
12/15/2022
Last updated
08/11/2026
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