Individual
CELINA ANN KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 103, LANSING, MI 48912-3756
(517) 913-3890
(517) 913-3891
Mailing address
1540 LAKE LANSING RD, SUITE 103, LANSING, MI 48912-3756
(517) 913-3890
(517) 913-3891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153304150
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/28/2011
Last updated
01/29/2021
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