Individual
KRISTINA NADA DABISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 MACK AVE, 2590, DETROIT, MI 48201-2427
(313) 577-1368
Mailing address
6020 W PIERSON RD, FLUSHING, MI 48433-2335
(810) 720-1200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007024
MI
Other
Enumeration date
07/03/2014
Last updated
01/05/2015
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