Individual
MRS. KIMBERLY L VERELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4472 MAIN ST, BROWN CITY, MI 48416-7908
(810) 346-2751
(810) 346-3238
Mailing address
228 SCHOOL HOUSE DR, IMLAY CITY, MI 48444-1242
(810) 724-4021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003348
MI
Other
Enumeration date
03/23/2006
Last updated
11/17/2011
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