Individual
KATHRYN CPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
940 RIVER CENTRE DR, PORT HURON, MI 48060-4463
(810) 985-4900
Mailing address
940 RIVER CENTRE DR, PORT HURON, MI 48060-4463
(810) 985-4900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005859
MI
Other
Enumeration date
12/15/2010
Last updated
03/04/2013
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