Individual
KRISTIN ELIZABETH MINNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5300 ELLIOTT DRIVE, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DRIVE, YPSILANTI, MI 48197-8632
(734) 822-2826
(734) 434-9517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006726
MI
363AS0400X
Surgical Physician Assistant
5601006726
MI
Other
Enumeration date
08/29/2013
Last updated
09/09/2025
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