Individual
ASHLEY M DEARMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6230
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601006149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5390152
BCBS
MI
Enumeration date
09/20/2011
Last updated
05/24/2012
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