Individual
DEBORAH A AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
620 W MAIN ST, PO 818, STANTON, MI 48888-9239
(989) 427-3331
(989) 427-3037
Mailing address
620 W MAIN ST, PO BOX 818, STANTON, MI 48888-9239
(989) 831-7723
(989) 831-8303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA003901
BLUE CROSS
MI
Enumeration date
06/18/2006
Last updated
06/27/2011
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