Individual
DR. KAY ELIZABETH WATNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
(248) 855-5627
Mailing address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
(248) 855-5627
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
KW403896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KW403896
STATE LICENSE
MI
Enumeration date
05/22/2006
Last updated
04/29/2021
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