Individual
CAROL L PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
14900 MIDDLEBELT RD, LIVONIA, MI 48154-4033
(248) 660-1220
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001979
MI
363AM0700X
Medical Physician Assistant
5601001979
MI
Other
Enumeration date
03/26/2007
Last updated
04/14/2022
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