Individual
KRISTINA M DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 922-9270
(231) 922-9271
Mailing address
PO BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 922-9270
(231) 922-9271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002592
MI
363A00000X
Physician Assistant
6313
GA
Other
Enumeration date
07/14/2006
Last updated
10/17/2013
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