Individual
KATELYN CHEESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3577 W 13 MILE RD STE 310, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012524
MI
Other
Enumeration date
11/27/2023
Last updated
12/06/2024
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