Individual
LINDSAY NICOLE GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2004 HAZEL ST, BIRMINGHAM, MI 48009-6807
(248) 723-2477
(248) 681-3209
Mailing address
19615 GALLAHAD DR, MACOMB, MI 48044-1766
(586) 329-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005741
MI
Other
Enumeration date
05/07/2010
Last updated
09/19/2010
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