Individual
KRISTI A TESARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
26206 W 12 MILE RD STE 202, SOUTHFIELD, MI 48034-8500
(248) 827-7612
(248) 827-7615
Mailing address
1544 OLD BRIDGE CT, CANTON, MI 48188-1241
(734) 394-1671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004922
MI
Other
Enumeration date
11/01/2006
Last updated
03/31/2014
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