Individual
KAYTLIN MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
Mailing address
15563 GOLDEN DR, MACOMB, MI 48044-3164
(248) 835-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704325672
MI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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