Individual
MRS. KATIE LYN RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5701 BOW POINTE DRIVE, SUITE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Mailing address
5701 BOW POINTE DRIVE, SUITE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006183
MI
Other
Enumeration date
09/15/2011
Last updated
08/01/2017
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