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Individual

KELSIE LICHTENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 789-7040
Mailing address
1417 WOODRIDGE DR, DANVILLE, IL 61832-1669
(217) 799-7661

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013268
MI

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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