Individual
MARGO AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53375 WHITBY WAY, SHELBY TWP, MI 48316-2751
(586) 907-8139
Mailing address
53375 WHITBY WAY, SHELBY TWP, MI 48316-2751
(586) 907-8139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/07/2020
Last updated
01/09/2022
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