Unknown Individual – Physician Assistant, NPI 1003095548
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
14585 NORTHLINE RD
SOUTHGATE, MI 481952469
Phone: (734) 284-0635
Fax: (248) 692-5115
Type: Location
Southfield, Hampton Green, Minchinhampton, Stroud, Gloucestershire, South West England, England, GL6 9, United Kingdom
SOUTHFIELD, MI 480374000
Phone: (734) 284-0635
Fax: (248) 692-5115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48195)
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