Individual
KRISTEN MARIE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15450 NORTHLINE RD, SOUTHGATE, MI 48195-2398
(734) 288-3534
Mailing address
15450 NORTHLINE RD, SOUTHGATE, MI 48195-2398
(734) 288-3534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009197
MI
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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