Individual
FAYTHE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26850 PROVIDENCE PKWY, STE 260, NOVI, MI 48374-1256
(248) 465-5140
(248) 465-5141
Mailing address
PO BOX 14128, BELFAST, ME 04915-4032
(248) 680-8000
(248) 680-8030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
08/12/2025
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