Individual
KATELYN D'HAENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1280 E CAMPUS DR, MT PLEASANT, MI 48858-3803
(517) 803-6285
Mailing address
7125 ORCHARD LAKE RD, STE 100, WEST BLOOMFIELD, MI 48322-3616
(248) 865-7444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009593
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/13/2018
Last updated
09/07/2021
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