Individual
KELLY MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7070 MILLER RD, SWARTZ CREEK, MI 48473-1591
(810) 564-7995
Mailing address
53768 JOE WOOD DR, MACOMB, MI 48042-2886
(586) 850-2199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010213
MI
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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