Individual
LESLIE B KYRITSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 W. 13 MILE RD, 400 FSC, ROYAL OAK, MI 48073-6769
(248) 423-2481
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 423-2481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004779
MI
Other
Enumeration date
07/19/2006
Last updated
07/06/2012
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