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Individual

KRISTINA KAY MASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-5301
(734) 936-6666
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5301004309
MI
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065408
NCCPA CERTIFICATE NUMBER
MI
Enumeration date
05/31/2006
Last updated
10/21/2009
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