Theresa Ann Radde, PA-C
Physician Assistant in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1235239757
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1235239757
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Ann Radde
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2006
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003667 | MI | Yes |
Practice location
24 Frank Lloyd Wright DrAnn Arbor, MI 48105-9484
Phone 734-936-3604
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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All 616 Physician Assistant providers in Ann Arbor · All 17,406 providers in Ann Arbor
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