Individual
ANNIE D KRAUDELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
21031 MICHIGAN AVE, DEARBORN, MI 48124-2339
(313) 277-6700
Mailing address
4005 ORCHARD DR, MIDLAND, MI 48670-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005402
MI
Other
Enumeration date
10/10/2008
Last updated
02/21/2012
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