Individual
VICTORIA A LATOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP G, ANN ARBOR, MI 48109-5338
(734) 936-7010
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077572
—
OH
Enumeration date
07/12/2005
Last updated
02/07/2014
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