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Individual

JUSTIN ROBERT KAPKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
8605 STONEY CREEK DR, SOUTH LYON, MI 48178-9490
(734) 660-3411
Mailing address
8605 STONEY CREEK DR, SOUTH LYON, MI 48178-9490
(734) 660-3411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012888
MI

Other

Enumeration date
11/14/2024
Last updated
01/07/2026
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